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題名:老人跌倒防制策略之探討
書刊名:臺灣老人保健學刊
作者:羅元婷羅慶徽朱明若許佩蓉張俊喜林金定 引用關係
作者(外文):Lo, Yuan-TingLoh, Ching-HuiChu, Corida M.Hsu, Pei-JungChang, Jun-HeiLin, Jin-Ding
出版日期:2007
卷期:3:1
頁次:頁14-29
主題關鍵詞:多面向介入措施老人跌倒預防跌倒指引Elderly fallFall prevention guidelineMultifactor preventive interventions
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(5) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:0
  • 點閱點閱:49
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,未來建議臺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。
Falls in older people are possible increased dependence on others and premature nursing home admissions. Moerover, 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 elder people.
期刊論文
1.Kannus, P.、Sievänen, H.、Palvanen, M.、Järvinen, T.、Parkkari, J.(20051126)。Prevention of falls and consequent injuries in elderly people。Lancet,366(9500),1885-1893。  new window
2.Sattin, R. W.(1992)。Falls among older persons: A public health perspective。Annual Review of Public Health,13(1),489-508。  new window
3.Nevitt, M. C.、Cummings, S. R.、Kidd, S.、Black, D.(1989)。Risk Factors for Recurrent Nonsyncopal Falls: A Prospective Study。JAMA: The Journal of the American Medical Association,261,2663-2668。  new window
4.Graafmans, W. C.、Ooms, M. E.、Hofstee, H. M. A.、Bezemer, P. D.、Bouter, L. M.、Lips, P.(1996)。Falls in the Elderly: A Prospective Study of Risk Factors and Risk Profiles。American Journal of Epidemiology,143(11),1129-1136。  new window
5.Fries, James F.(1980)。Aging, natural death, and the compression of morbidity。New England Journal of Medicine,303(3),130-135。  new window
6.American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention(2001)。Guideline for the prevention of falls in older persons49,664-672。  new window
7.Masud, T.、Morris, R. O.(2001)。Epidemiology of falls。Age and Ageing,30(4),3-7。  new window
8.Minister of Public Works and Government services Canada(2002)。Healthy aging prevention of unintentional injuries among seniors。Division of Aging and Seniors,1-18。  new window
9.Moller J.(2003)。Projected costs of fall related injury to older persons due to demographic change in Australia。Commonwealth of Australia,1-28。  new window
10.Rizzo J.A.、Friedkin R.、Williams C.S.、Nabors J.、Acampora D.、Tinetti M.E.(1998)。Health care utilization and costs in a medicare population by fall status。Medical Care,36,1174-88。  new window
11.McClure R.、Turner C.、Peel N.、Spinks A.、Eakin E.、Hughes K.(2007)。Population-based interventions for the prevention of fall-related injuries in older people (review)。The Cochrane Collaboration,1-15。  new window
12.NICE.(2004)。Falls: the assessment and prevention of falls in older people。National Institute for Clinical Excellence,NHS 1-30。  new window
13.Oliver D.、Connelly J.B.、Victor C.R.、Shaw F.E.、Whitehead A.、Genc Y.、Vanoli A.、Martin F.C.、Gosney M.A.(2007)。Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment: systematic review and meta-analyses。British Medical Journal,334(7584),82-87。  new window
14.Rubenstein L.Z.、Kenny R.A.、Eccles M.、Martin F.、Tinetti M.E.(2003)。Preventing falls in older people: New advances and the development of Clinical practice guidelines。Journal of Royal College of Physicians of Edinburgh,33,262-272。  new window
15.Royal College of Nursing.(2004)。Clinical practice guideline for the assessment and prevention of falls in older people。Royal College of Nursing,1-95。  new window
16.Stevens J.A.、Corso P.S.、Finkelstein E.A.、Miller T.R.(2006)。The costs of fatal and nonfatal falls among older adults。Injury Prevention,12,290-295。  new window
17.Tromp A.M.、Pluijm S.M.F.、Smit J.H.、Deeg D.J.H.、Bouter L.M.、Lips P.(2001)。Fall-risk screening test: a prospective study on predictive study on predictors for falls in community-dwelling elderly。Journal of Clinical Epidemiology,54(8),837-844。  new window
18.Tinetti M.E.(2003)。Preventing falls in elderly persons。The New England Journal of Medicine,348(1),42-49。  new window
19.Commonwealth of Australia, Home & Community Care, Slips and Falls Learning Resource(2005)。Implementing the national slips and falls prevention program。Commonwealth of Australia,1-17。  new window
20.Close J.C.T.(2001)。Interdisciplinary practice in the prevention of falls-a review of working models of care。Age and Ageing,30-S4,8-12。  new window
21.Chou, W. C.、Tinetti, M. E.、King, M. B.、Irwin, K.、Fortinsky, R. H.(2006)。Perceptions of physicians on the barriers and facilitators to integrating fall risk evaluation and management into practice。Journal of General Internal Medicine,21,117-112。  new window
22.Rubenstein L.Z.、Josephson K.R.(2002)。Then epidemiology of falls and syncope。Clinical Geriatric Medicine,18,141-158。  new window
23.Commonwealth of Australia, Department of Health and Ageing, National Public Health Partnership(2005)。National falls prevention for older people plan: 2004 onwards。Commonwealth of Australia,1-24。  new window
24.Weir E.、Culmer L.(2004)。Fall prevention in the elderly population。Canadian Medical Association Journal,171(1),724。  new window
25.Wenger N.S.、Solomon D.H.、Roth C.P.、MacLean C.H.、Saliba D.、Kamberg C.J.、Rubenstein L.Z. et al.(2003)。The quality of medical care provided to vulnerable community-living older patients。Annals Internal Medicine,139(9),740-747。  new window
26.Tinetti, M. E.、Doucette, J.、Claus, E.、Marotoli, R. A.(1995)。Risk factors for serious injury during falls by older persons in the community。Journal of the American Geriatrics Society,43,1212-1221。  new window
研究報告
1.行政院衛生署(2001)。中華民國九十年衛生統計。臺北:行政院衛生署。  延伸查詢new window
圖書
1.WHO(1997)。Manual of the international classification of diseases, injuries, and causes of death. Vol. 1。  new window
其他
1.行政院衛生署國民健康局(2007)。五老有一跌 $a十跌有三傷。  延伸查詢new window
2.National Center for Injury Prevention and Control, http:// www.cdc.gov/ncipc/wisqars.(1005)。National Center for Injury Prevention and Control,http://, 20070530。  new window
3.Tsai Y.J.,Wilkinson P.(2005)。Health care burden of fall-inducing hip fracture projested in the elderly in Taiwan, 2000-2020。  new window
4.The American Geriatrics Society(2006)。Update the guideline for prevention of falls in older persons,http://www.americangeriatrics.org/education/2006Falls_summary120605.shtml, 20070420。  new window
5.National Center for Injury Prevention and Control, http:// www.cdc.gov/ncipc/wisqars.(2006)。National Center for Injury Prevention and Control,http://, 20070530。  new window
 
 
 
 
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