PDF(Pubmed)
Abstract：
BACKGROUND: Aging exposes individuals to new health disorders and debilitating chronic diseases, yet most older adults, even in functional decline, do not want to leave their homes. Nevertheless, for many, institutionalization in a nursing home (NH) may become essential to ensure their continued safety and health. Depression is one of the most common psychiatric disorders among older adults, especially among those who are institutionalized. Depressed NH residents face a high risk of future functional decline and falls, decreasing their quality of life. The relationship between depression and falls is complex and bidirectional. Previous reviews have focused on home-dwelling older adults or explored the relationship between antidepressant drugs and falls. To the best of our knowledge, no integrative literature reviews have explored the relationship between depression and falls among NH residents.
OBJECTIVE: Analyze studies on the relationship between depression and falls among NH residents.
METHODS: We will conduct an integrative literature review of published articles in relevant scientific journals on the relationship between depression and depressive symptomatology and falls among NH residents. As usually defined, we will consider NH residents to be people aged 65 years and older who can no longer live safely and independently in their homes. We will also consider older adults on short-term stays in an NH for rehabilitation after hospital discharge. Retrieved articles will be screened for eligibility and analyzed following previously reported steps. The most pertinent bibliographical databases will be examined for qualitative, quantitative, and mixed methods studies, from inception until August 31, 2023, thus ensuring that all relevant literature is included. We will also hand-search the bibliographies of all the relevant articles found and search for unpublished studies in any language. If appropriate, we will consider conducting a meta-analysis of the studies retrieved.
RESULTS: A first round of data collection was completed in March 2023. We retrieved a total of 2276 references. A supplementary literature search to ensure the most up-to-date evidence is ongoing. We anticipate that the review will be completed in late September 2023, and we expect to publish results at the end of December 2023.
CONCLUSIONS: This integrative review will increase knowledge and understanding of the complex relationship between depression and falls in NH environments. Its findings will be important for developing integrated, multidisciplinary models and care recommendations, adaptable to each NH resident\'s situation and health status, and for creating preventive interventions to help them maintain or recover optimal health stability.
UNASSIGNED: DERR1-10.2196/46995.
OBJECTIVE: Analyze studies on the relationship between depression and falls among NH residents.
METHODS: We will conduct an integrative literature review of published articles in relevant scientific journals on the relationship between depression and depressive symptomatology and falls among NH residents. As usually defined, we will consider NH residents to be people aged 65 years and older who can no longer live safely and independently in their homes. We will also consider older adults on short-term stays in an NH for rehabilitation after hospital discharge. Retrieved articles will be screened for eligibility and analyzed following previously reported steps. The most pertinent bibliographical databases will be examined for qualitative, quantitative, and mixed methods studies, from inception until August 31, 2023, thus ensuring that all relevant literature is included. We will also hand-search the bibliographies of all the relevant articles found and search for unpublished studies in any language. If appropriate, we will consider conducting a meta-analysis of the studies retrieved.
RESULTS: A first round of data collection was completed in March 2023. We retrieved a total of 2276 references. A supplementary literature search to ensure the most up-to-date evidence is ongoing. We anticipate that the review will be completed in late September 2023, and we expect to publish results at the end of December 2023.
CONCLUSIONS: This integrative review will increase knowledge and understanding of the complex relationship between depression and falls in NH environments. Its findings will be important for developing integrated, multidisciplinary models and care recommendations, adaptable to each NH resident\'s situation and health status, and for creating preventive interventions to help them maintain or recover optimal health stability.
UNASSIGNED: DERR1-10.2196/46995.
摘要：
背景：衰老使个体暴露于新的健康障碍和使人衰弱的慢性疾病，然而大多数老年人，即使功能下降，不想离开他们的家。然而，对许多人来说,在疗养院（NH）住院可能对于确保其持续的安全和健康至关重要。抑郁症是老年人中最常见的精神疾病之一，尤其是那些制度化的人。沮丧的NH居民面临未来功能下降和下降的高风险，降低他们的生活质量。抑郁和跌倒之间的关系是复杂和双向的。以前的评论集中在家庭居住的老年人或探讨了抗抑郁药与跌倒之间的关系。据我们所知,尚无综合文献综述探讨NH居民抑郁与跌倒之间的关系。
目的：分析NH居民抑郁与跌倒关系的研究。
方法：我们将对相关科学期刊上发表的关于NH居民抑郁与抑郁症状和跌倒之间关系的文章进行综合文献综述。如通常定义的，我们将考虑NH居民是65岁及以上的人，他们不能再安全和独立地在家中生活。我们还将考虑在NH短期停留的老年人在出院后康复。检索的文章将根据先前报告的步骤进行资格筛选和分析。将对最相关的书目数据库进行定性检查，定量,和混合方法研究，从成立到2023年8月31日，从而确保包括所有相关文献。我们还将手动搜索发现的所有相关文章的参考书目，并搜索任何语言的未发表的研究。如果合适,我们将考虑对检索到的研究进行荟萃分析.
结果：第一轮数据收集于2023年3月完成。我们总共检索了2276个参考文献。补充文献检索，以确保最新的证据正在进行中。我们预计审查将于2023年9月下旬完成，我们预计将于2023年12月底公布结果。
结论：这篇综合综述将增加对NH环境中抑郁和跌倒之间复杂关系的认识和理解。其发现对于发展综合，多学科模式和护理建议，适应每个NH居民的情况和健康状况，并制定预防性干预措施，以帮助他们维持或恢复最佳健康稳定。
■DERR1-10.2196/46995。
目的：分析NH居民抑郁与跌倒关系的研究。
方法：我们将对相关科学期刊上发表的关于NH居民抑郁与抑郁症状和跌倒之间关系的文章进行综合文献综述。如通常定义的，我们将考虑NH居民是65岁及以上的人，他们不能再安全和独立地在家中生活。我们还将考虑在NH短期停留的老年人在出院后康复。检索的文章将根据先前报告的步骤进行资格筛选和分析。将对最相关的书目数据库进行定性检查，定量,和混合方法研究，从成立到2023年8月31日，从而确保包括所有相关文献。我们还将手动搜索发现的所有相关文章的参考书目，并搜索任何语言的未发表的研究。如果合适,我们将考虑对检索到的研究进行荟萃分析.
结果：第一轮数据收集于2023年3月完成。我们总共检索了2276个参考文献。补充文献检索，以确保最新的证据正在进行中。我们预计审查将于2023年9月下旬完成，我们预计将于2023年12月底公布结果。
结论：这篇综合综述将增加对NH环境中抑郁和跌倒之间复杂关系的认识和理解。其发现对于发展综合，多学科模式和护理建议，适应每个NH居民的情况和健康状况，并制定预防性干预措施，以帮助他们维持或恢复最佳健康稳定。
■DERR1-10.2196/46995。
