以质量求发展，以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (13): 56-61.doi: 10.16460/j.issn1008-9969.2024.13.056

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

LIU Xuan1a, WANG Xiao-hui1b, ZHANG Ling1c, YANG Nan1a, WEI Ting2, JIAO Hao-ran2, HUANG Feng1a, LAN Yu-qing1a   

  1. 1a. Dept. of General Medicine; b. Dept. of Gastroenterology and Coloproctology; c. Dept. of Nursing Administration, Ganzhou People's Hospital, Ganzhou 341000, China;
    2. School of Nursing, Ganzhou Medical University, Ganzhou 341000, China
  • Received:2024-02-22 Online:2024-08-05 Published:2024-08-05

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Abstract: 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.

Key words: environmental management, elderly patient, fall, best evidence, evidence summary, evidence-based nursing

CLC Number: 

  • R473.59
[1] Pitchai P, Dedhia HB, Bhandari N, et al.Prevalence, risk factors, circumsta-nces for falls and level of functional independence among geriatric population-adescriptive study[J].Indian J Public Health,2019,63(1):21-26. DOI:10.4103/ijph.IJPH_332_17.
[2] James SL, Lucchesi LR, Bisignano C, et al.The global burden of falls: gl-obal, regional and national estimates of morbidity and mortality from The Global Burden of Disease Study(GBDS) 2017[J].Inj Prev,2020,26(1):i3-i11. DOI:10.1136/injuryprev-2019-043286.
[3] 中国老年保健医学研究会老龄健康服务与标准化分会,《中国老年保健医学》杂志编辑委员会.中国老年人跌倒风险评估专家共识[J].中国老年保健医学,2019,17(4):47-48,50. DOI:10.3969/j.issn.1672-2671.2019.04.013.
[4] Pati D, Lee J, Mihandoust S, et al.Top five physical design factors contributing to fall initiation[J]. HERD,2018,11(4):50-64. DOI:10.1177/1937586718763798.
[5] Pati D, Valipoor S, Cloutier A, et al.Physical design factors contributing to patient falls[J]. J Patient Saf, 2021, 17(3):e135-e142.DOI:10.1097/PTS.0000000000000339.
[6] 胡雁,郝玉芳.循证护理学[M].北京:人民卫生出版社,2018.
[7] Dicenso A,Bayley L,Haynes RB.Accessing pre-appraised evidence:fine-tuning the 5S model into a 6S model[J]. Evid Based Nurs,2009,12(4):99-101.DOI:10.1136/ebn.12.4.99-b.
[8] 周芬,郝玉芳,丛雪等.指南研究与评价工具AGREE Ⅱ及各领域分值的补充解释及思考[J].护理学报,2018,25(18):56-58.DOI:10.16460/j.issn1008-9969.2018.18.056.
[9] Foster MJ, Shurtz S.Making the Critical Appraisal for Summaries of Evid-ence (CASE) for Evidence-Based Medicine (EBM): critical appraisal of summaries of evidence[J].J Med Libr Assoc,2013,101(3):192-198. DOI:10.3163/1536-5050.101.3.008.
[10] 王春青,胡雁.JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967.DOI:10.16821/j.cnki.hsjx.2015.11.002.
[11] Sarah B,Douglas PK. Falls: Prevention in nursing care facilities and the hospital setting[EB/OL].(2022-07-01)[2023-10-30].https://www.uptodate.cn/
[12] Bellman S. Evidence Summary. Falls (older adults): prevention (hospital settings)[EB/OL].(2023-05-08)[2023-11-17].https://ovidsp-dc2-ovid-com.kean.idm.oclc.org/ovid-new-a/ovidweb.cgi?&S=MBHOFPBMCHEBAEICIPKJFHLEAEKBAA00&Link+Set=S.sh.21%7c1%7csl_190.
[13] Montero-Odasso M,van der Velde N,Martin FC,et al. World guidelines for falls prevention and management for older adults:a global initiative[J].Age Ageing,2022,51(9):afac205. DOI:10.1093/ageing/afac205.
[14] Schoberer D,Breimaier HE,Zuschnegg J,et al.Fall prevention in hospitals and nursing homes:clinical practice guideline[J]. Worldviews Evid Based Nurs,2022,19(2):86-93. DOI:10.1111/wvn.12571.
[15] Ontario RNAO. Preventing falls and reducing injury from falls fourth edition[EB/OL]. (2017-01-01)[2022-09-23]. https://rnao.ca/bpg/guidelines/prevention-falls-and-fall-injuries.
[16] Jung D, Shin S,Kim H.A fall prevention guideline for older adults living in long-term care facilities[J]. Int Nurs Rev, 2014,61(4):525-533.DOI:10.1111/inr.12131.
[17] National Institute for Health and Clinical Excellence. Falls in older people:assessing risk and prevention[EB/OL].(2013-06-07)[2018-12-29]. http://www.nice.org.uk/guidance.
[18] 中华人民共和国国家卫生健康委.老年人跌倒干预技术[EB/OL].(2011-08-26)[2011-09-06].http://www.nhc.gov.cn/wjw/gfxwj/201304/729e74b51ab5434c965ec03164eca46d.shtml.
[19] Hospital Bed Safety Workgroup. Clinical guidance for the assessment and implementation of bed rails in hospitals, long term care facilities, and home care settings[J]. Crit Care Nurs Q,2003,26(3):244-262.DOI:10.1097/00002727-200307000-00010.
[20] Valipoor S, Pati D, Kazem-Zadeh M,et al.Falls in older adults: a systematic review of literature on interior-scale elements of the built environment[J]. Journal of Aging and Environment,2020,34(4):351-374. DOI:10.1080/02763893.2019.1683672.
[21] 北京市卫生健康委员会.老年友善医疗机构评定技术规范[EB/OL].(2022-03-24)[2022-07-01].https://wjw.beijing.gov.cn/zwgk_20040/zcwj2022/dfbz/202304/t20230408_2992960.html.
[22] 皮红英,高远,候惠如,等.老年人跌倒风险综合管理专家共识[J].中华保健医学杂志,2022, 24(6):439-441.DOI:10.3969/j.issn.1674-3245.2022.06.001.
[23] 杨泽,唐振兴,苏志刚,等.老年健康生活环境的宜居(适老)性评估标准(草案)[J].中国老年保健医学,2018,16(5):12-18.DOI:10.3969/j.issn.1672-2671.2018.05.002.
[24] 中国康复医学会老年康复专业委员会专家共识组,上海市康复医学会专家共识组.预防老年人跌倒康复综合干预专家共识[J].老年医学与保健, 2017, 23(5):349-352.DOI:10.3969/j.issn.1008-8296.2017.05.001.
[25] 国家卫生健康委,国家中医药管理局.关于开展建设老年友善医疗机构工作的通知[EB/OL].[2020-12-01].http://www.nhc.gov.cn/lljks/pqt/202012/03cdf0773f0c42fe86e577f2143f6721.shtml.
[26] Berry S, Kiel MP. Falls:prevention in nursing care facilities and the hospitalsetting[EB/OL].(2022-05-08)[2023-07-29].http://49.234.226.30:8091/contents/falls-prevention-in-nursing-care-facilities-and-the-hospital-setting.
[27] 陈春丽,张建凤,任俊翠,等.护理敏感质量指标在不良事件管理持续改进中应用的效果评价[J].护理研究,2019,33(14):2503-2506.DOI:10.12102/j.issn.1009-6493.2019.14.033.
[28] 刘小红,谢志洁,张晨晨,等.肿瘤患者护理风险共享治理实践[J].护理学杂志,2022,37(3):56-58. DOI:10.3870/j.issn.1001-4152.2022.03.056.
[29] World Health Organization. Assistive technology[EB/OL].(2018-05-18)[2022-07-08].https://www.who.int/news-room/fact-sheets/detail/assistive-technology.
[30] Rice LA, Fliflet A, Frechette M, et al.Insights on an automated fall dete-ction device designed for older adult wheelchair and scooter users: a qualitative study[J]. Disabil Health J, 2022, 15(1S):101207.DOI: 10.1016/j.dhjo.2021.101207.
[31] 施雯,黄天翊,肖悦,等.基于人-环境-作业模式的轮椅使用者跌倒干预研究进展[J].护理学报,2023,30(16):41-47.DOI:10.16460/j.issn1008-9969.2023.16.041.
[32] Singh H, Scovil CY, Yoshida K, et al.Factors that influence the risk of falling after spinal cord injury:a qualitative photo-elicitation study with individuals that use a wheelchair as their primary means of mobility[J].BMJ Open, 2020, 10(2): e34279.DOI: 10.1136/bmjopen-2019-034279.
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