老年住院患者跌倒预防措施的证据总结  

Summary of evidences for fall prevention in elderly inpatients

作　　者：周萌[1] 苏莉 叶晶[2] 闫金英 王秀英[3] 刘瑶[4] 陶珍晖[4] 刘娜[5] 邓俊[3] 刘霞[3] 丁炎明[3] Zhou Meng;Su Li;Ye Jing;Yan Jinying;Wang Xiuying;Liu Yao;Tao Zhenhui;Liu Na;Deng Jun;Liu Xia;Ding Yanming(Department of Orthopedics,Peking University First Hospital,Beijing 100034,China;Cardiac Care Unit,Peking University First Hospital,Beijing 100034,China;Nursing Department,Peking University First Hospital,Beijing 100034,China;Outpatient Hemodialysis Room,Peking University First Hospital,Beijing 100034,China;Department of Respiratory,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院普外科,100034 [2]北京大学第一医院心脏加强病房(CCU),100034 [3]北京大学第一医院护理部,100034 [4]北京大学第一医院门诊透析室,100034 [5]北京大学第一医院呼吸科,100034

出　　处：《中华现代护理杂志》2019年第36期4704-4708,共5页Chinese Journal of Modern Nursing

摘　　要：目的检索和评价老年住院患者预防跌倒的相关证据,并对最佳证据进行总结。方法首先通过计算机检索各指南网站和数据库(建库至2018年12月31日)的老年住院患者跌倒预防措施相关的指南、证据总结、系统评价,采用AGREEⅡ的中文版本、"2016版JBI对系统评价论文的真实性评价工具"和"2014版JBI证据预分级及证据推荐级别系统"对文献进行质量评价和证据分级。结果共纳入6篇文献,包括:指南3篇和系统评价3篇。根据评价和提取结果,最终形成评估和预防2个部分、6个方面的预防措施的最佳证据总结,共14条。预防措施6个方面分别为:药物、设施、环境、功能锻炼、信息支持和多因素干预。结论医务人员应该按照相关级别的循证医学证据,规范指导患者掌握预防跌倒措施,保证患者安全。Objective To retrieve and evaluate the evidences for fall prevention in elderly inpatients,and to summary the best evidence.Methods Guidelines,evidence summaries and systematic reviews related to fall prevention of elderly patients were retrieved in guideline websites and databases by computer from building database to 31st December 2018.Literatures'quality evaluation and evidence grading were carried out with the Chinese version of appraisal of guidelines for research and evaluationⅡ(AGREEⅡ),"2016 Joanna Briggs Institute quality assessment tool on validity evaluation of systematic reviews"and"2014 Joanna Briggs Institute quality level of evidence and grade of recommendation system".Results A total of 6 documents were included with 3 guidelines and 3 systematic reviews.Based on evaluation and results extracted,14 items of the best evidences on fall prevention were summarized in two parts including assessment and prevention,and in 6 aspects involving the medication,facility,environment,functional training,informational support and multifactorial intervention.Conclusions Medical staff should guide patients to take standardized fall preventive measures to guarantee the safety of patients based on evidence-based medicine.

关 键 词：老年人 跌倒 住院患者 预防 循证护理学 

分 类 号：R47[医药卫生—护理学]