Impact of Function Focused Care and Physical Activity on Falls in Assisted Living Residents
Impact of Function Focused Care and Physical Activity on Falls in Assisted Living Residents
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DOI：
10.1177/0844562119856224
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发表时间：
2020-03-01
影响因子：
2.1
通讯作者：
Vigne, Erin
中科院分区：
文献类型：
--
作者：
Resnick, Barbara;Galik, Elizabeth;Vigne, Erin
背景护士、患者和家属一直认为体育锻炼会增加跌倒的风险。目的本研究的目的是检验在控制年龄、功能、认知、药物使用、性别、合并症和认知等因素后，接受以功能为重点的辅助生活护理（FFC-AL-EIT）并从事适度体育活动的居民不会更容易跌倒的假设。方法：本研究采用美国FFC-AL-EIT随机试验的前两个队列数据进行二次数据分析。结果共纳入居民381人，其中女性占70%，白人占97%，平均年龄87.72岁（标准差为7.47）。参加更多中等强度体力活动的人跌倒的可能性降低1%（优势比= 0.99,p = 0.03）。暴露于以功能为重点的护理与跌倒之间没有显著关联（优势比= 1.58,p = 0.09）。结论没有迹象表明接受功能集中护理或从事中等水平体育活动的人更容易跌倒。事实上，从事适度的体育活动被认为对摔倒有轻微的保护作用。
BackgroundThere continues to be a belief among nurses, patients, and families that physical activity increases the risk of falling.PurposeThe purpose of this study was to test the hypothesis that controlling for age, function, cognition, medication use, gender, comorbidities, and cognition, residents who are exposed to Function Focused Care for Assisted Living (FFC-AL-EIT) and engage in moderate levels of physical activity would not be more likely to fall.MethodsThis was a secondary data analysis using data from the first two cohorts of a randomized trial testing FFC-AL-EIT in the United States.ResultsThe study included 381 residents, the majority of whom were female (70%), white (97%), with a mean age of 87.72 (standard deviation = 7.47). Those who engaged in more moderate-intensity physical activity were 1% less likely to fall (odds ratio = .99, p = .03). There was no significant association between exposure to function focused care and falling (odds ratio = 1.58, p = .09).ConclusionThere was no indication that those who were exposed to function focused care or those who engaged in moderate-level physical activity were more likely to fall. In fact, engaging in moderate-level physical activity was noted to be slightly protective of falling.