运动锻炼对社区老年人跌倒预防效果的证据总结

发布时间：2018-10-08 17:58

【摘要】：目的评价与总结运动锻炼对社区老年人跌倒预防效果的最佳证据。方法计算机检索Cochrane图书馆、JBI(The Joanna Briggs Institute)循证卫生保健图书馆、加拿大安大略注册护士协会、美国指南网、Pub Med、荷兰医学文摘数据库、苏格兰校际指南网络、英国国家临床医学研究所指南网、BMJ(Best Practice)数据库、中国生物医学文献数据库、万方数据库、中国知网关于运动锻炼对社区老年人跌倒预防效果的所有指南、证据总结、最佳实践信息册、推荐实践、系统评价及原始研究。由3名研究者对文献质量进行评价和资料提取,对符合质量标准的文献进行证据提取。结果共纳入10篇文献,其中4篇指南,2篇系统评价,1篇推荐实践,1篇证据总结,2篇原始研究。总结的最佳证据包括运动锻炼应有中到高强度的平衡功能训练;太极、瑜伽对预防跌倒有效;多因素、群组或居家的运动形式有利于降低跌倒风险。结论建议社区护理人员对老年人进行运动锻炼方面的健康指导,提供并满足相应的锻炼条件;根据老年人的自身情况,针对性地使用证据。
[Abstract]:Objective to evaluate and summarize the best evidence for the prevention effect of exercise on elderly people in community. Methods computer search was conducted for Cochrane (The Joanna Briggs Institute) Evidence-based Health Care Library, Ontario registered Nurses Association of Canada, Pub Med, Netherlands Medical Abstract Database and Scottish Interschool Guide Network. BMJ (Best Practice) Database, Chinese Biomedical Literature Database, Wanfang Database, all the guidelines on the effect of exercise on the elderly fall Prevention in Community, the evidence is summarized. Best practice information book, recommended practices, system review and original research. The quality of literature was evaluated and extracted by three researchers, and the evidence of documents that met the quality standard was extracted. Results A total of 10 articles were included, of which 4 guides, 2 systematic reviews, 1 recommended practice, 1 evidence summary, and 2 original studies. The best evidence is that exercise should have moderate to high intensity balance function training; Taiji yoga is effective in preventing falls; multiple factors group or home exercise can reduce the risk of falling. Conclusion it is suggested that the community nurses should give health guidance to the elderly in exercise, provide and satisfy the corresponding exercise conditions, and use the evidence according to their own conditions.
【作者单位】：复旦大学护理学院;
【分类号】：R473.2

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