预防老年患者跌倒住院环境管理的最佳证据总结  

Best evidence summary for environmental management for fall prevention in hospitalized elderly patients

作　　者：刘璇 王小惠 张凌[3] 杨楠 魏婷 焦昊然 黄峰 蓝玉清[1] LIU Xuan;WANG Xiao-hui;ZHANG Ling;YANG Nan;WEI Ting;JIAO Hao-ran;HUANG Feng;LAN Yu-qing(Dept.of General Medicine,Ganzhou People’s Hospital,Ganzhou 341000,China;Dept.of Gastroenterology and Coloproctology,Ganzhou People’s Hospital,Ganzhou 341000,China;Dept.of Nursing Administration,Ganzhou People’s Hospital,Ganzhou 341000,China;School of Nursing,Ganzhou Medical University,Ganzhou 341000,China)

机构地区：[1]赣州市人民医院全科医学科,江西赣州341000 [2]赣州市人民医院胃肠疝外科,江西赣州341000 [3]赣州市人民医院护理部,江西赣州341000 [4]赣南医科大学护理学院,江西赣州341000

出　　处：《护理学报》2024年第13期56-61,共6页Journal of Nursing（China）

基　　金：2020年赣州市科技局科技计划项目(2020601006);2022年度江西省卫生健康委科技计划项目(202212433);2023年度江西省卫生健康委科技计划项目(202311946)。

摘　　要：目的老年患者跌倒是常见的临床问题,一旦发生会严重威胁患者的身心健康。本研究旨在总结有效预防老年住院患者跌倒发生环境管理的最佳证据,以提高临床护理安全质量。方法计算机系统检索中英文相关数据库及学科专业网站中有关老年住院患者跌倒预防的系统评价、证据总结、专家共识、指南、临床决策支持系统,检索时间为建库至2023年11月16日。结果最终共纳入14篇文献,其中7篇指南、4篇专家共识、1篇系统评价、1篇证据总结、1篇临床决策。最终从适老化安全环境、辅助器具/设备、无障碍环境与标识3个方面汇总了29条最佳证据。结论本研究全面系统地检索总结了预防老年患者跌倒住院环境管理的最佳证据,在使用证据时应根据临床情境进行选择、合理转化,从而制定出更具临床专业化和针对性的预防老年住院患者跌倒的环境管理措施,更好地保障老年患者住院安全性。Objective Fall is a common clinical problem for elderly patients and can seriously threaten their physical and mental health once it occurs.This study aims to systematically summarize the best evidence for effective environmental management to prevent falls among hospitalized elderly patients,and to improve clinical nursing safety quality.Methods Relevant databases and professional websites in Chinese and English were retrieved using a computer system for systematic evaluation,evidence summary,expert consensus,guideline,and clinical decision support system related to fall prevention for hospitalized elderly patients from the inception to November 16,2023.Results A total of 14 articles were finally collected,including 7 guidelines,4 expert consensuses,1 systematic review,1 evidence summary,and 1 clinical decision.Totally 29 pieces of best evidence were summarized from 3 aspects of age-friendly safety environment,assistive devices/equipment,barrier-free environment and markings,and appropriate footwear.Conclusion This study comprehensively and systematically retrieves and summarizes the best evidence for environmental management to prevent fall in hospitalized elderly patients.The evidence should be selected and reasonably transformed according to the clinical context to develop more clinically specialized and targeted measures to prevent fall in hospitalized elderly patients and better protect their safety during hospitalization.

关 键 词：环境管理 老年患者 跌倒 最佳证据 证据总结 循证护理 

分 类 号：R473.59[医药卫生—护理学]