目的:本系统综述旨在探讨听力学中推荐的跌倒风险评估方法,确定听力学家报告的秋季风险评估实践,并认识到临床实践中影响跌倒风险评估的障碍和促进因素。
方法:本系统综述使用系统综述和Meta分析的首选报告项目进行。
结果:CINAHL,PubMed,灰色文献发表了262篇文章。本文共纳入27篇全文。还审查了另外16个实践范围和指南文件。使用定性,归纳法。
结论:结果显示,尽管提到了跌倒风险评估措施和方案,讨论,据报道,在听力学文献中进行了临床研究,许多听力学家没有在临床上进行跌倒风险评估。提出的主要挑战似乎是由于听力学文献中的指导有限以及听力学家对跌倒风险因素和措施的培训和知识不足。这篇评论文章强调,所有听力学家在减少老年人跌倒的全球危机中都可以发挥重要作用。然而,如果没有进一步的研究来帮助发展文档和培训计划的标准化,我们可能会继续看到缺乏对跌倒风险和听力学家在筛查和早期发现中的作用的认识和教育。
OBJECTIVE: This systematic review aimed to explore the recommended fall risk assessment practices in
audiology, identify audiologists\' reported practices in fall risk assessment, and recognize the barriers and facilitators affecting fall risk assessment in clinical practice.
METHODS: This systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.
RESULTS: CINAHL, PubMed, and gray literature yielded 262 articles. A total of 27 full-text articles were included in this review article. An additional 16 scope of practice and
guideline documents were also reviewed. Pertinent data and findings from the review were tabulated and analyzed using a qualitative, inductive approach.
CONCLUSIONS: Results revealed that despite fall risk assessment measures and protocols being mentioned, discussed, and reportedly implemented clinically in
audiology literature, many audiologists are not conducting fall risk assessments clinically. The main challenges presented appear to be due to limited guidance within
audiology documentation and inadequate training and knowledge of audiologists on fall risk factors and measures. This review article highlighted that all audiologists have an important role to play in reducing the global crisis of falls in older adults. However, without further research to aid in the development of standardization of documentation and training programs, we may continue to see a lack of awareness and education on fall risk and on the audiologist\'s role in the screening and early detection hereof.