老年人跌倒恐惧体验质性研究的Meta整合
Meta-synthesis of qualitative researches on experience of fear of falling in the elderly
祁艳焕 1陈赟 1袁竺方 1黎海敏 1李国敏 1钟印芹 2洒文娟3
作者信息
- 1. 广州中医药大学深圳医院(福田)护理部,深圳 518034
- 2. 广州中医药大学深圳医院(福田)院办,深圳 518034
- 3. 广州中医药大学深圳医院(福田)内分泌科,深圳 518034
- 折叠
摘要
目的 系统评价老年人跌倒恐惧体验的质性研究,为护理实践提供理论依据.方法 系统检索PubMed、Web of Science、Embase、Cochrane Library、中国知网、万方数据库、维普网、中国生物医学文献数据库中关于老年人跌倒恐惧体验的质性研究,检索时限为建库至2023年11月5日.采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准评价文献质量,使用汇集性Meta整合方法进行资料整合.结果 共纳入13篇文献,提取出44个主题,归纳为12个类别,提炼为4个整合结果,分别为对跌倒恐惧的感知、跌倒恐惧的影响因素、在态度及行为方面的应对策略、对康复护理的多维度需求.结论 医护人员应关注和理解老年人的跌倒恐惧,多维度、动态地评估老年人的跌倒恐惧,基于应对行为方式给予跌倒恐惧老年人个性化指导,创建支持系统缓解老年人的跌倒恐惧并满足其多维度需求,提高老年人的生活质量.
Abstract
Objective To systematically evaluate the qualitative research on experience of fear of falling in the elderly,so as to provide theoretical basis for nursing practice.Methods Qualitative researches on the fear of falling among the elderly were systematically searched in PubMed,Web of Science,Embase,Cochrane Library,China National Knowledge Infrastructure,WanFang Data,VIP,and China Biology Medicine disc.The search period was from database establishment to November 5,2023.The quality of literature was evaluated using the quality evaluation criteria for qualitative research of the Australia Joanna Briggs Institute Evidence-Based Health Care Center,and the results were integrated using the Meta-synthesis.Results A total of 13 articles were included,44 themes were extracted,categorized into 12 categories,and refined into four integrated results,namely perception of fear of falling,influencing factors of fear of falling,coping strategies in attitude and behavior,and multidimensional needs for rehabilitation nursing.Conclusions Medical and nursing staff should pay attention to and understand the fear of falling among the elderly,evaluate their fear of falling from multiple dimensions and dynamically,provide personalized guidance based on coping behaviors,create support systems to alleviate their fear of falling and meet their multidimensional needs,so as to improve their quality of life.
关键词
老年人/跌倒恐惧/体验/质性研究/Meta整合Key words
The aged/Fear of falling/Experience/Qualitative research/Meta-synthesis引用本文复制引用
基金项目
广东省中医药局科研项目(20211338)
出版年
2024
NETL
NSTL
万方数据