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运动康复预防老年住院患者跌倒的最佳证据总结

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目的 检索、评价并整合运动康复预防老年住院患者跌倒的相关证据,为运动康复在老年住院患者中实践应用提供参考。方法 计算机检索相关指南网、学会网站及中英文数据库中关于运动康复在预防老年住院患者中应用的指南、证据总结、系统评价、推荐实践、专家共识,检索时限为建库至2023年7月19日,对纳入的文献进行文献质量评价,根据主题进行证据提取与汇总。结果 共纳入20篇文献,包括指南3篇、专家共识3篇、证据总结3篇、系统评价11篇,共总结出运动康复的益处、实施人员、运动评估、运动方式与安全、运动频率、时间及强度共5个主题19条证据。结论 本研究总结形成了运动康复预防老年住院患者跌倒的实践方案,临床实施过程中可根据实际情况选择最佳证据,预防老年患者跌倒及所致的伤害,提高护理安全质量。
Summary of the best evidence for exercise rehabilitation in preventing falls in elderly hospitalized patients
Objective To search,evaluate,and integrate relevant evidence on the prevention of falls in elderly hospitalized patients through exercise rehabilitation,and provide reference for the practical application of exercise rehabilitation in elderly hospitalized patients.Methods The guidelines,evidence summary,systematic evaluation,recommendation practice and expert consensus on the application of sports rehabilitation in the prevention of elderly hospitalized patients in the related guide network,the website of the Society and the Chinese-English database were searched by computer,and the retrieval time was from the establishment of the database to July 19,2023.The quality of the included documents was evaluated,and the evidence was extracted and summarized according to the theme.Results A total of 20 articles were included,including 3 guidelines,3 expert consensus papers,3 evidence summaries,and 11 systematic reviews.A total of 19 pieces of evidence were summarized on 5 themes including the benefits of exercise rehabilitation,implementers,exercise assessment,exercise style and safety,exercise frequency,time,and intensity.Conclusion This study summarizes and forms a practical plan for exercise rehabilitation to prevent falls in elderly hospitalized patients.During the clinical implementation process,the best evidence can be selected based on the actual situation to prevent falls and related injuries in elderly patients and improve the quality of nursing safety.

Elderly hospitalized patientsExercise rehabilitationFallEvidence summary

韩琼、李家华、吴林静、陈媛、邱文金、刘淑芬

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厦门大学附属心血管病医院心内五科,福建厦门 361006

厦门大学附属心血管病医院护理部,福建厦门 361006

老年住院患者 运动康复 跌倒 证据总结

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(19)