期刊目錄列表 - 63卷(2018) - 【教育科學研究期刊】63(2)六月刊(本期專題:終身學習與高齡教育)

(專題)預防計畫對於老人跌倒相關傷害之成效:統合分析 作者:馬偕學校財團法人馬偕醫護管理專科學校高齡服務事業科黃素妃、大智通文化行銷股份有限公司楊婷婷、經國管理暨健康學院高齡照顧福祉系陳雪芬、康寧大學高齡社會健康管理科呂莉婷、萬能科技大學觀光與休閒事業管理系廖容瑜

卷期:63卷第2期
日期:2018年6月
頁碼:163-186
DOI:10.6209/JORIES.201806_63(2).0007

摘要:
本研究目的為評估預防計畫對老人跌倒相關傷害之成效,從Cochrane Library、Medline、PubMed、PsycARTICLES、PsycINFO、ERIC、AgeLine、CINAHL、Behavioral Sciences Collection databases等,蒐集所有相關的臨床隨機試驗研究,文獻年代範圍從1996年至2016年間,並應用探索性統合分析,計算老人跌倒預防計畫之效果量。共計33篇期刊論文納入分析(68,736人),探索性統合分析結果顯示,跌倒預防計畫對因跌倒所造成的傷害具顯著效果(OR=0.86, 95% CI:0.75-0.97),但是對於骨折的預防效果則介於邊緣性顯著差異(OR=0.80, 95% CI:0.63-1.03)。此外,跌倒預防計畫若是不分男女、介入內容包含健康照護專家、當參與者超過20%具跌倒經驗、社區為介入場域、包含多元介入等,本研究發現預防計畫對於預防跌倒相關傷害具有小卻顯著的效果,因此,未來規劃跌倒預防計畫時,政策制定者及臨床工作者應考量不同特性的老人,並提出合適的介入計畫。

關鍵詞:老人、統合分析、跌倒預防、意外跌倒、傷害

《詳全文》 檔名

參考文獻:
  1. Alexander, B. H., Rivara, F. P., & Wolf, M. E. (1992). The cost and frequency of hospitalization for fall-related injuries in older adults. American Journal of Public Health, 82(7), 1020-1023. doi: 10.2105/AJPH.82.7.1020
  2. Baranzini, F., Diurni, M., Ceccon, F., Poloni, N., Cazzamalli, S., Costantini, C., …Callegari, C. (2009). Fall-related injuries in a nursing home setting: Is polypharmacy a risk factor? BMC Health Services Research, 9(1), 228. doi:10.1186/1472-6963-9-228
  3. Barker, A. L., Morello, R. T., Wolfe, R., Brand, C. A., Haines, T. P., Hill, K. D., ...Kamar, J. (2016). 6-PACK programme to decrease fall injuries in acute hospitals: Cluster randomised controlled trial. BMJ, 352. doi:10.1136/bmj.h6781
  4. Barnett, A., Smith, B., Lord, S. R., Williams, M., & Baumand, A. (2003). Community‐based group exercise improves balance and reduces falls in at‐risk older people: A randomised controlled trial. Age and Ageing, 32(4), 407-414. doi:10.1093/ageing/32.4.407
  5. Becker, C., Kron, M., Lindemann, U., Sturm, E., Eichner, B., Walter‐Jung, B., & Nikolaus, T. (2003). Effectiveness of a multifaceted intervention on falls in nursing home residents. Journal of the American Geriatrics Society, 51(3), 306-313. doi:10.1046/j.1532-5415.2003.51103.x
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中文APA引文格式黃素妃、楊婷婷、陳雪芬、呂莉婷、廖容瑜(2018)。預防計畫對於老人跌倒相關傷害之成效:統合分析。教育科學研究期刊,63(2),163-186。doi: 10.6209/JORIES.201806_63(2).0007
APA FormatHuang, S. -F., Yang, T. -T., Chen, S. -F., Lu, L. -T., Liao, J -Y.(2018). Effects of Fall Prevention Programs for Older Adults on Fall-Related Injuries: A Systematic Review and Meta-Analysis. Journal of Research in Education Sciences, 63(2), 163-186. doi: 10.6209/JORIES.201806_63(2).0007

Journal directory listing - Volume 63(2018) - Journal of Research in Education Sciences【63(2)】June (Special Issue: Lifelong Learning and Senior Education)

(Special Issue) Effects of Fall Prevention Programs for Older Adults on Fall-Related Injuries: A Systematic Review and Meta-Analysis Author: Su-Fei Huang (Department of Senior Citizen Service,Mackay Junior College of Medicine, Nursing, and Management), Ting-Ting Yang(Wisdom Distribution Service Corporation), Shueh-Fen Chen(Department of Senior Citizen Care Welfare, Ching Kuo Institute of Management and Health), Li-Ting Lu(Department of Health Management for Elderly Society, University of Kang Ning), Jung-Yu Liao(Department of Tourism and Leisure Management, Vanung University)

Vol.&No.:Vol. 63, No.2
Date:June 2018
Pages:163-186
DOI:10.6209/JORIES.201806_63(2).0007

Abstract:
This study aimed to evaluate the effects of fall prevention programs on fall-related injuries, and the characteristics of these programs. The Cochrane Library, Medline, PubMed, PsycARTICLES, PsycINFO, ERIC, AgeLine, CINAHL, and the Psychology and Behavioral Sciences Collection databases were searched for randomized clinical trials on fall-related injuries among older adults from 1996 to 2016. A meta-analysis was performed to calculate the combined effects of fall prevention programs on fall-related injuries. A total of 33 research papers were included in the meta-analysis (68,736 participants). The meta-analysis found that fall prevention programs had a significant effect in preventing fall-related injuries (OR=0.86, 95% CI: 0.75-0.97), but a borderline-significant effect in preventing fractures (OR=0.80, 95% CI: 0.63-1.03). The fall prevention programs had a significant effect on fall-related injuries when both male and female participants were included in the study sample, interventions involved healthcare professionals, more than 20% of the patient population had a history of falling, interventions occurred in the community setting, and multiple interventions were used. Thus, fall prevention programs had a small but significant effect in preventing fall-related injuries but only a borderline effect in preventing fractures. When planning fall prevention programs, future policy makers and clinical workers should consider the different characteristics of older adults to propose appropriate intervention programs.

Keywords:accidental falls, fall prevention, injury, meta-analysis, older adults