Summary of the best evidence for prevention and management of falls in the frail elderly
10.3760/cma.j.cn115682-20230221-00619
- VernacularTitle:衰弱老年人跌倒预防及管理的最佳证据总结
- Author:
Miao LIU
1
;
Shan CUI
;
Qi LI
;
Yuxin WANG
;
Yujia ZHANG
;
Yi JIN
Author Information
1. 天津医科大学神经内外科及神经康复临床学院，天津 300350
- Keywords:
Aged;
Frail;
Fall prevention;
Nutrition;
Exercise;
Summary of evidence
- From:
Chinese Journal of Modern Nursing
2023;29(27):3710-3716
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To search, evaluate and summarize the best evidence on falls prevention and management in the frail elderly to provide ideas and references for clinical practice.Methods:Evidences related to falls prevention and management in the frail elderly were systematically searched on BMJ Best Practice, UpToDate, Registered Nurses' Association of Ontario, National Guideline Clearinghouse, National Institute for Health and Clinical Excellence, Medlive, Joanna Briggs Institute (JBI) Evidence Based Health Care Center Database in Australia, Scottish Intercollegiate Guideline Network, Cochrane Library, CINAHL, PubMed, Web of Science, Embase, CNKI, Wanfang Database, VIP and China Biology Medicine disc. The search period was from the establishment of the database to March 1, 2023. Three researchers independently evaluated quality of the included literature, and extracted, integrated and graded the evidence.Results:A total of 24 literatures were included, including 13 systematic reviews, 4 expert consensus, 6 guidelines and 1 evidence summary. A total of 30 evidences were summarized from 5 aspects of frailty screening, assessment, disease and medication management, exercise management and nutrition management.Conclusions:This study summarizes the best evidence for fall prevention and management in the frail elderly. It is suggested that practitioners should formulate a management plan in accordance with the actual situation in combination with the application scenario and the situation of the elderly, so as to improve the intervention level and reduce the incidence of falls in the frail elderly.
