Factors influencing the implementation of falls prevention practice in primary care.
Factors influencing the implementation of falls prevention practice in primary care.
复制标题
影响初级保健中跌倒预防实践实施的因素。
DOI：
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复制
发表时间：
2020
影响因子：
1.2
通讯作者：
Katie Hooven
中科院分区：
文献类型：
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作者：
A. McConville;Katie Hooven
背景
初级保健机构中的患者跌倒是一个复杂的问题，不利于老年人的独立性和生活质量。
目标
本综合审查的目的是确定哪些因素影响初级保健机构中跌倒预防实践的实施。本综述探讨了 2004 年至 2018 年间发表的关于初级保健中跌倒预防管理障碍的定性和定量研究。
数据来源
作者对证据进行了系统检索，并确定了 18 篇符合纳入标准的文章。
结论
确定了五个主题，描述了初级保健机构中跌倒风险管理的障碍。其中包括提供者的信念和实践、缺乏提供者知识、时间限制、患者参与和财务问题。
对实践的影响
缺乏关于跌倒风险识别的筛查和评估表明初级保健中老年人的管理存在差距。使用基于证据和理论的“阻止老年事故、死亡和伤害”工具包和算法是协助从业人员进行跌倒评估和预防措施的有效方法。
BACKGROUND
Patient falls in the primary care setting are a complex problem and are detrimental to the independence and quality of life of older adults.
OBJECTIVES
The purpose of this integrative review is to identify what factors influence the implementation of fall prevention practice in the primary care setting. This review explores qualitative and quantitative research published between 2004 and 2018 on barriers to fall prevention management in primary care.
DATA SOURCES
The authors conducted a systematic search of the evidence and identified 18 articles which met the inclusion criteria.
CONCLUSIONS
Five themes were identified that described barriers in fall risk management in the primary care setting. These included provider beliefs and practice, lack of provider knowledge, time constraints, patient engagement, and financial issues.
IMPLICATIONS FOR PRACTICE
The lack of screening and assessment regarding fall risk identification demonstrates a gap in the management of older adults in primary care. Using the evidence- and theory-based Stopping Elderly Accidents, Deaths, and Injuries toolkit and algorithm is an effective method to assist practitioners with fall assessment and preventative measures.