PDF(Pubmed)
Abstract：
This review article assesses the effectiveness and limitations of strategies to reduce falls among hospitalized older adults with frailty and dementia. It explores the efficacy of existing fall prevention strategies for a cohort that is acutely susceptible to falls and fall-related consequences. A systematic literature search was conducted across MEDLINE, Embase, CINAHL, and PsycINFO, employing Medical Subject Headings (MeSH) to identify studies on fall prevention strategies in hospitalized older adults with both dementia and frailty published from 2013 to 2023. The initial 643 records were distilled to eight articles, with Structured Interdisciplinary Bedside Rounds (SIBR) emerging as a notable intervention. SIBR demonstrated a reduction in falls by fostering improved interdisciplinary communication and care planning. However, a decline in family engagement during consecutive sessions suggests a need for strategies to sustain familial involvement. The findings advocate for patient-centered interventions that address the cognitive and functional challenges faced by this cohort of older adults. This review advocates for comprehensive and inclusive research in hospital environments to improve fall prevention strategies for frail older adults with dementia.
摘要：
这篇综述文章评估了减少衰弱和痴呆住院老年人跌倒的策略的有效性和局限性。它探讨了现有的跌倒预防策略对急性容易跌倒和跌倒相关后果的队列的有效性。在MEDLINE进行了系统的文献检索，Embase,CINAHL,和PsycINFO,采用医学主题词(MeSH)确定2013年至2023年发表的关于患有痴呆和虚弱的住院老年人跌倒预防策略的研究.最初的643条记录被提炼成八篇文章，结构化跨学科床边回合（SIBR）作为一种值得注意的干预措施。SIBR通过促进改进的跨学科交流和护理计划，证明了跌倒的减少。然而,连续会议期间家庭参与的下降表明需要采取策略来维持家庭参与.研究结果提倡以患者为中心的干预措施，以解决该老年人群面临的认知和功能挑战。这篇综述提倡在医院环境中进行全面和包容性的研究，以改善虚弱的老年痴呆症患者的跌倒预防策略。
