A meta-synthesis of qualitative research on the experience of falls prevention self-management in community-dwelling older people
Objective To understand the experience of falls prevention self-management in community-dwelling older people,and provide a basis for carrying out targeted falls self-management intervention.Methods Literature search of English and Chinese data-bases for qualitative studies on older people's experiences of falls self-management,with a search time frame from database crea-tion to 1 August 2023.The JBI quality evaluation standards for qualitative research were used to evaluate the literature,and quali-tative studies that met the evaluation standards were meta-integrated based on thematic analysis.Results A total of 8 studies were included.Thirty-four results were extracted,and summarized into 11 categories,and 4 research results were integrated:complex emotions and behaviors;facilitators of self-management behaviors for fall prevention;obstacles to self-management for fall pre-vention;psychological support and professional medical needs.Conclusion Community-dwelling older people have emotions and be-haviors,and are faced with difficulties and challenges in the process of self-management for fall prevention.Medical staff should pay attention to their coping styles,inner experiences and needs,improve the medical and social support system,and promote self-management behaviors for fall prevention among the elderly in the community.
the elderlycommunityfall preventionself-managementpsychological supportemotionqualitative re-searchmeta integration