Perspectives of older adults regarding barriers and enablers to engaging in fall prevention activities after hospital discharge.
Perspectives of older adults regarding barriers and enablers to engaging in fall prevention activities after hospital discharge.
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DOI：
10.1111/hsc.12996
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发表时间：
2020-09
影响因子：
2.4
通讯作者：
Hill AM
中科院分区：
文献类型：
--
作者：
Naseri C;McPhail SM;Haines TP;Morris ME;Shorr R;Etherton-Beer C;Netto J;Flicker L;Bulsara M;Lee DA;Francis-Coad J;Waldron N;Boudville A;Hill AM
最近出院的老年人功能下降和福尔斯的风险很高。在出院时提供量身定制的跌倒预防教育，旨在提高老年人参与福尔斯预防活动的能力。目前尚不清楚的是影响出院后行为改变的因素。本研究确定了老年人在出院后6个月内参与跌倒预防活动的感知障碍和推动因素。一个探索性的方法，使用解释现象学分析集中在一个有目的的样本（n = 30）的参与者的生活经验。所有人都被招募作为RCT（n = 390）的一部分，该RCT在澳大利亚珀斯的三家医院康复病房提供量身定制的跌倒预防教育计划。在出院后6个月使用半结构化电话调查收集数据。个人故事证实，一些老年人在出院后难以恢复功能。体能下降，如疲劳、慢性疼痛和行走时感觉不稳定，是参与者安全恢复正常日常活动的障碍。接受量身定制的秋季教育计划的参与者报告了对预防跌倒的知识和动机的积极影响。有机会获得治疗或社会支持的参与者描述了更积极的恢复经验相比，个人谁坚持没有援助。缺乏身体和社会支持与对不良事件（如福尔斯、受伤和再次入院）的忧虑和恐惧有关。参与者出院后的生活经历强烈表明，他们需要医疗保健专业人员和护理人员提供更多的支持，以确保他们的需求得到满足。需要进一步研究评估如何帮助这一人群参与降低福尔斯和再次入院高风险的计划。
Older adults recently discharged from hospital are at high risk of functional decline and falls. A tailored fall prevention education provided at hospital discharge aimed to improve the capacity of older adults to engage in falls prevention activities. What remains unknown are the factors affecting behaviour change after hospital discharge. This study identified the perceived barriers and enablers of older adults to engagement in fall prevention activities during the 6-month period post-discharge. An exploratory approach using interpretative phenomenological analysis focused on the lived experience of a purposive sample (n = 30) of participants. All were recruited as a part of an RCT (n = 390) that delivered a tailored fall prevention education program at three hospital rehabilitation wards in Perth, Australia. Data were collected at 6-month post-discharge using semi-structured telephone surveys. Personal stories confirmed that some older adults have difficulty recovering functional ability after hospital discharge. Reduced physical capability, such as experiences of fatigue, chronic pain and feeling unsteady when walking were barriers for participants to safely return to their normal daily activities. Participants who received the tailored fall education program reported positive effects on knowledge and motivation to engage in fall prevention. Participants who had opportunities to access therapy or social supports described more positive experiences of recovery compared to individuals who persevered without assistance. A lack of physical and social support was associated with apprehension and fear toward adverse events such as falls, injuries, and hospital readmission. The lived experience of participants following hospital discharge strongly suggested that they required more supports from both healthcare professionals and caregivers to ensure that their needs were met. Further research that evaluates how to assist this population to engage in programs that will mitigate the high risk of falls and hospital readmissions is required.
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DOI：
10.1111/j.1532-5415.2009.02346.x
发表时间：
2009-08-01
影响因子：
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DOI：
10.1016/j.apmr.2011.04.009
发表时间：
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