- 期刊
- OpenAccess
老人跌倒防制策略之探討
Prevention Strategy of Falls for Elderly People
摘要
老人發生跌倒後可能會增加依賴他人的機會以及提前入住護理機構，再者老人跌倒後所造成的罹病率和醫療成本的支出一直是公共衛生最關心的老人健康議題之一，本篇文獻回顧最主要目的是瞭解目前老人跌倒的現況、老人跌倒的危險因子、老人跌倒後所造成的影響並收集美國、英國和澳洲之老人預防跌倒指引再加以比較。其實造成老人跌倒的原因很少是由單一的危險因子所造成，很多時候是因為老人的生理性、行為性、環境性與社會性因素所交互作用所產生，因此預防的策略應採用多面向的介入措施為最適當，美、英、澳洲此三國所發展的老人預防跌倒指引，可分為臨床指引與社區推行指引，兩者其不同的使用對象與適用場所，不同國家因為其當地文化差異之不同，所發展出來的指引也未必相同，未來建議台灣應增加預防老人跌倒的相關研究以及預防指引之規劃，才能發展出適合我國老人之預防模式。
並列摘要
Falls in older people are possible increased dependence on others and premature nursing home admissions. Moreover, elderly falls are a major public health issue in terms of morbidity and health cost. The aim of this review is to understand the epidemiology of elderly falls, introduce and compare the prevention strategies for older people falls in America, Britain and Australia. It is rare that only one risk factor leaded to fall. It could be the interaction of biological, behavioral, environmental and socio-economic factors that cause older people falls. Therefore, multifactor preventive interventions for elderly people should be more effective than single interventions. It can be divided into two different fall prevention guidelines. One is clinical fall prevention guideline and the other is community prevention guideline. Both have different target groups and practice settings. Different country has its own unique culture. Hence, there are some unlike among these guidelines. We should increase researches about fall prevention strategies of older people and design prevention guidelines for older people.