中华护理杂志 ›› 2021, Vol. 56 ›› Issue (3): 458-463.DOI: 10.3761/j.issn.0254-1769.2020.03.025
收稿日期:
2020-03-24
出版日期:
2021-03-15
发布日期:
2020-03-20
通讯作者:
皮红英
作者简介:
张华果:女,博士(在站博士后),讲师,主管护师,E-mail:candid9551@sina.com
基金资助:
ZHANG Huaguo,SONG Mi,XU Yue,PI Hongying()
Received:
2020-03-24
Online:
2021-03-15
Published:
2020-03-20
Contact:
Hongying PI
摘要:
跌倒相关心理问题普遍存在于老年人中,构成严重的公共卫生问题。跌倒相关心理问题主要包含4个概念:跌倒恐惧、跌倒效能、平衡信心、结果预期。文献中经常出现跌倒相关心理问题的概念、测量方法,存在混淆使用。因此,跌倒相关心理问题应引起更多关注。该文通过综述老年人跌倒相关心理问题的概念、测量和干预措施,以明确概念,帮助医护人员更好地理解老年人跌倒相关的心理问题,优化干预措施,从而降低老年人的跌倒风险,减少跌倒的发生。
张华果,宋咪,徐月,皮红英. 老年人跌倒相关心理问题的研究进展[J]. 中华护理杂志, 2021, 56(3): 458-463.
ZHANG Huaguo,SONG Mi,XU Yue,PI Hongying. Research progress of fall-related psychological concerns among older adults[J]. Chinese Journal of Nursing, 2021, 56(3): 458-463.
[1] | Hughes CC, Kneebone II, Jones F , et al. A theoretical and empirical review of psychological factors associated with falls-related psychological concerns in community-dwelling older people[J]. Int Psychogeriatr, 2015,27(7):1071-1087. |
[2] | Payette MC, Bélanger C, Léveillé V , et al. Fall-related psychological concerns and anxiety among community-dwelling older adults:systematic review and meta-analysis[J]. PLoS One, 2016,11(4):e0152848. |
[3] | van der Meulen E, Zijlstra GAR, Ambergen T , et al. Effect of fall-related concerns on physical,mental,and social function in community-dwelling older adults:a prospective cohort study[J]. J Am Geriatr Soc, 2014,62:2333-2338. |
[4] | Liu JY . Fear of falling in robust community-dwelling older people:results of a cross-sectional study[J]. J Clin Nurs, 2015,24(3/4):393-405. |
[5] | 郑静, 陈申, 崔焱 . 养老机构老年人害怕跌倒现状及影响因素的研究[J]. 护理研究, 2019,33(1):14-17. |
Zheng J, Chen S, Cui Y . The status quo and influencing factors of the elderly in fear of falling in nursing homes[J]. Chin Nurs Res, 2019,33(1):14-17. | |
[6] | Chang HT, Chen HC, Chou P . Factors associated with fear of falling among community-dwelling older adults in the Shih-Pai study in Taiwan[J]. PLoS One, 2016,11(3):e0150612. |
[7] | 王浩, 赵鸣, 段蕾蕾 , 等. 浙江省城乡社区60岁以上老年人害怕跌倒而减少活动的流行特征及影响因素分析[J]. 中华流行病学杂志, 2015,36(8):794-798. |
Wang H, Zhao M, Duan LL , et al. Analysis on the characteristics and factors associated with avoidance of activity induced by fear of falling in the community-dwelling elderly[J]. Chin J Epidemiol, 2015,36(8):794-798. | |
[8] | Schoene D, Heller C, Aung YN , et al. A systematic review on the influence of fear of falling on quality of life in older people:is there a role for Falls?[J]. Clin Interv Aging, 2019,14:701-719. |
[9] | Choi K, Jeon GS, Cho SI . Prospective study on the impact of fear of falling on functional decline among community dwelling elderly women[J]. Int J Environ Res Public Heal, 2017,14(5):469. |
[10] | Hadjistavropoulos T, Delbaere K, Fitzgerald TD . Reconceptualizing the role of fear of falling and balance confidence in fall risk[J]. J Aging Health, 2011,23(1):3-23. |
[11] | Desforges JF, Tinetti ME, Speechley M . Prevention of Falls among the elderly[J]. N Engl J Med, 1989,320(16):1055-1059. |
[12] | Tinetti ME, Richman D, Powell L . Falls efficacy as a measure of fear of falling[J]. J Gerontol, 1990,45(6):P239-P243. |
[13] | Powell LE, Myers AM . The Activities-Specific Balance Confidence(ABC)scale[J]. Journals Gerontol Ser A:Biol Sci Med Sci, 1995,50A(1):M28-M34. |
[14] | Yardley L, Smith H . A prospective study of the relationship be-tween feared consequences of falling and avoidance of activity in community-living older people[J]. Gerontol, 2002,42(1):17-23. |
[15] | Pauelsen M, Nyberg L, Röijezon U , et al. Both psychological factors and physical performance are associated with fall-related concerns[J]. Aging Clin Exp Res, 2018,30(9):1079-1085. |
[16] | Tideiksaar R, Kay AD . What causes Falls? A logical diagnostic procedure[J]. Geriatrics(Basel), 1986,41(12):32-50. |
[17] | JÃ, rstad EC, Hauer K, Becker C , et al. Measuring the psychological outcomes of falling:a systematic review[J]. J Am Ge-riatr Soc, 2005,53(3):501-510. |
[18] | Kumar A, Delbaere K, Zijlstra GAR , et al. Exercise for reducing fear of falling in older people living in the community:cochrane systematic review and meta-analysis[J]. Age Ageing, 2016,45(3):345-352. |
[19] | Young WR, Wing AM, Hollands MA . Influences of state anxiety on gaze behavior and stepping accuracy in older adults during adaptive locomotion[J]. Journals Gerontol Ser B:Psychol Sci Soc Sci, 2012,67B(1):43-51. |
[20] | Young WR, Mark Williams A . How fear of falling can increase fall-risk in older adults:applying psychological theory to practical observations[J]. Gait Posture, 2015,41(1):7-12. |
[21] | Li FZ, Fisher KJ, Harmer P , et al. Falls self-efficacy as a mediator of fear of falling in an exercise intervention for older adults[J]. Journals Gerontol:Ser B, 2005,60(1):P34-P40. |
[22] | Li FZ , McAuley E,Fisher KJ,et al. Self-efficacy as a mediator between fear of falling and functional ability in the elderly[J]. J Aging Health, 2002,14(4):452-466. |
[23] | Hotchkiss A, Fisher A, Robertson R , et al. Convergent and predictive validity of three scales related to falls in the elderly[J]. Am J Occup Ther, 2004,58(1):100-103. |
[24] | Bandura A . Self-efficacy:toward a unifying theory of behavioral change[J]. Psychol Rev, 1977,84(2):191-215. |
[25] | Yardley L, Kempen GIJM . Measuring expected outcomes of falls[J]. J Am Geriatr Soc, 2006,54(8):1300-1301. |
[26] | Yardley L, Beyer N, Hauer K , et al. Development and initial validation of the Falls Efficacy Scale-International(FES-I)[J]. Age Ageing, 2005,34(6):614-619. |
[27] | Kempen GIJM , Yardley L,van Haastregt JCM,et al. The Short FES-I:a shortened version of the Falls Efficacy Scale-International to assess fear of falling[J]. Age Ageing, 2007,37(1):45-50. |
[28] | Delbaere K, Smith ST, Lord SR . Development and initial validation of the Iconographical Falls Efficacy Scale[J]. Journals Gerontol Ser A:Biol Sci Med Sci, 2011,66A(6):674-680. |
[29] | Lachman ME, Howland J, Tennstedt S , et al. Fear of falling and activity restriction:the survey of activities and fear of falling in the elderly(SAFE)[J]. Journals Gerontol Ser B:Psychol Sci Soc Sci, 1998,53B(1):P43-P50. |
[30] | Hill KD, Schwarz JA, Kalogeropoulos AJ , et al. Fear of falling revisited[J]. Arch Phys Med Rehabilitation, 1996,77(10):1025-1029. |
[31] | Kwan MMS, Tsang WWN, Close JCT , et al. Development and validation of a Chinese version of the Falls efficacy scale international[J]. Arch Gerontol Geriatr, 2013,56(1):169-174. |
[32] | 郭启云, 郭沐洁, 张林 , 等. 国际版跌倒效能量表汉化后信效度评价[J]. 中国全科医学, 2015,18(35):4273-4276. |
Guo QY, Guo MJ, Zhang L , et al. Evaluation of the reliability and validity of Chinese version of Falls Efficacy Scale[J]. Chin Gen Pract, 2015,18(35):4273-4276. | |
[33] | 邓宁, 张彤, 史宝欣 . 简明国际跌倒效能感量表在脑梗死患者中的信度和效度检验[J]. 中国康复理论与实践, 2015,21(12):1438-1442. |
Deng N, Zhang T, Shi BX . Reliability and validity of Chinese version of Short Falls Efficacy Scale International in patients with cerebral infarction[J]. Chin J Rehabilitation Theory Pract, 2015,21(12):1438-1442. | |
[34] | Chan PPW, Chan APS, Lau E , et al. Translation and validation study of the Chinese version iconographical Falls Efficacy Scale-Short Version(Icon-FES)[J]. Arch Gerontol Geriatr, 2018,77:1-7. |
[35] | 黄蓉蓉, 孙慧敏, 王进波 , 等. 图像版跌倒效能量表的跨文化调适[J]. 中国实用护理杂志, 2019,35(2):126-131. |
Huang RR, Sun HM, Wang JB , et al. Cross-cultural adaptation of the Iconographical Falls Efficacy Scale[J]. Chin J Pract Nurs, 2019,35(2):126-131. | |
[36] | 郝燕萍, 刘雪琴 . 修订版跌倒效能量表在我国老年人群中的测试研究[J]. 中华护理杂志, 2007,42(1):19-21. |
Hao YP, Liu XQ . Research of application of the Modified Fall Efficacy Scale of Chinese version in the aged in China[J]. Chin J Nurs, 2007,42(1):19-21. | |
[37] | 管强, 韩红杰, 詹青 , 等. 活动平衡信心量表(中文版)的信度与效度研究[J]. 同济大学学报(医学版), 2011,32(3):81-84. |
Guan Q, Han HJ, Zhan Q , et al. Research of reliability and validity of Chinese Translated Activities-Specific Balance Con-fidence Scale[J]. J Tongji Univ Med Sci, 2011,32(3):81-84. | |
[38] | Liu TW, Ng GYF, Chung RCK , et al. Cognitive behavioural therapy for fear of falling and balance among older people:a systematic review and meta-analysis[J]. Age Ageing, 2018,47(4):520-527. |
[39] | Chua CHM, Jiang Y, Lim DS , et al. Effectiveness of cognitive behaviour therapy-based multicomponent interventions on fear of falling among community-dwelling older adults:a systematic review and meta-analysis[J]. J Adv Nurs, 2019,75(12):3299-3315. |
[40] | Kruisbrink M, Delbaere K, Kempen GIJM , et al. Intervention characteristics associated with a reduction in fear of falling among community-dwelling older people:a systematic review and meta-analysis of randomized controlled trials[J]. Gerontol, 2020,4(08); 1-14. |
[41] | 赵丹, 谢韬, 郭文琼 , 等. 认知行为干预对社区老年慢性病患者害怕跌倒的影响[J]. 中国老年学杂志, 2015,35(17):4950-4952. |
Zhao D, Xie T, Guo WQ , et al. Impacts of cognitive-behavioral intervention on fear of falling in elderly patients with chronic diseases in community[J]. Chin J Gerontol, 2015,35(17):4950-4952. | |
[42] | 李莺, 程云, 赵丽蓉 , 等. 奥塔戈运动对老年脑卒中患者害怕跌倒的影响[J]. 中华护理杂志, 2014,49(12):1442-1447. |
Li Y, Cheng Y, Zhao LR , et al. Effect of Otago Exercise Programme on fear of falling in elderly patients with stroke[J]. Chin J Nurs, 2014,49(12):1442-1447. | |
[43] | 唐浪娟, 岳丽春, 刘聪香 , 等. 奥塔戈运动对帕金森出院患者害怕跌倒心理及平衡能力的影响[J]. 中国康复医学杂志, 2016,31(12):1383-1385. |
Tang LJ, Yue LC, Liu CX , et al. Effect of Otago exercise on fear of falling and balance in discharged patients with Parkinson's disease[J]. Chin J Rehabilitation Med, 2016,31(12):1383-1385. | |
[44] | 刘恒, 纪代红, 迟迅 , 等. 奥塔戈运动对膝关节置换术后老年患者平衡能力和害怕跌倒的影响[J]. 中国护理管理, 2019,19(1):133-138. |
Liu H, Ji DH, Chi X , et al. Effect of Otago Exercise Programme on balance ability and fear of falling in elderly patients with knee arthroplasty[J]. Chin Nurs Manag, 2019,19(1):133-138. | |
[45] | Mat S, Ng CT, Tan PJ , et al. Effect of modified Otago exercises on postural balance,fear of falling,and fall risk in older fallers with knee osteoarthritis and impaired gait and balance:a secondary analysis[J]. PM&R, 2018,10(3):254-262. |
[46] | 张兆龙, 覃林 . 基于跌倒效能系统评价Otago家庭运动预防老年人日常跌倒损伤的效果[J]. 中国康复医学杂志, 2018,33(2):200-205. |
Zhang ZL, Qin L . Evaluation of the effect of Otago family exercise for prevention of fall-related injuries in older people:based on the fall efficiency system[J]. Chin J Rehabilitation Med, 2018,33(2):200-205. | |
[47] | 洪都, 徐军, 林梅 , 等. 简化太极拳运动对减轻社区老年人害怕跌倒的效果研究[J]. 中华护理杂志, 2018,53(10):1224-1229. |
Hong D, Xu J, Lin M , et al. The effects of simplified Tai Chi exercise on fear of falling among the elderly in communities[J]. Chin J Nurs, 2018,53(10):1224-1229. | |
[48] | Nyman SR, Hayward C, Ingram W , et al. A randomised controlled trial comparing the effectiveness of Tai Chi alongside usual care with usual care alone on the postural balance of community-dwelling people with dementia:protocol for the TACIT trial(TAi ChI for people with demenTia)[J]. BMC Geriatr, 2018,18:263. |
[49] | Liu YWJ, Tsui CM . A randomized trial comparing Tai Chi with and without cognitive-behavioral intervention(CBI) to reduce fear of falling in community-dwelling elderly people[J]. Arch Gerontol Geriatr, 2014,59(2):317-325. |
[50] | Huang TT, Chung ML, Chen FR , et al. Evaluation of a combined cognitive-behavioural and exercise intervention to manage fear of falling among elderly residents in nursing homes[J]. Aging Ment Health, 2016,20(1):2-12. |
[1] | 郝瑞霞, 李育玲, 徐勇, 杨丽洁, 韩雪. 冠心病患者负性情绪智能化改善方案的制订及应用[J]. 中华护理杂志, 2021, 56(9): 1285-1292. |
[2] | 张继文, 范环, 肖树芹, 杨芳宇, 吴瑛. 独居与非独居老年人居家照护未满足需求的比较研究[J]. 中华护理杂志, 2021, 56(9): 1293-1298. |
[3] | 陆金玲, 许勤, 陈丽, 丁玲玉, 花红霞, 徐欣怡. 5种肌肉减少症筛查工具在胃癌患者术前营养评定中的应用比较[J]. 中华护理杂志, 2021, 56(9): 1299-1304. |
[4] | 燕美琴, 王娇, 刘亦娜, 张慧君, 任永莲. 群组孕期保健模式在妊娠期糖尿病孕妇分娩结局中的效果研究[J]. 中华护理杂志, 2021, 56(9): 1305-1311. |
[5] | 黄娜, 周英凤, 李丽, 刘巧艳, 朱佳蕾, 汪玲, 潘秀红, 郭娜菲. 妊娠期糖尿病孕妇血糖管理决策行为及影响因素的研究[J]. 中华护理杂志, 2021, 56(9): 1312-1317. |
[6] | 朱淑榕, 魏碧蓉, 郭胜斌, 林颖. 硬膜外分娩镇痛产妇护理支持需求问卷的研制及信效度检验[J]. 中华护理杂志, 2021, 56(9): 1318-1324. |
[7] | 蒋阳, 沈鸣雁, 冯志仙. 1例镜像综合征并发急性心力衰竭孕妇的护理[J]. 中华护理杂志, 2021, 56(9): 1325-1328. |
[8] | 申乔乔, 冯现刚, 梁韵仪, 左倩倩, 张正敏, 高钰琳. 围产期哀伤辅导指南的系统评价[J]. 中华护理杂志, 2021, 56(9): 1329-1334. |
[9] | 金微, 肖琦, 杨凌艳, 曾铁英. 紧急剖宫产术后产妇心理健康问题的研究进展[J]. 中华护理杂志, 2021, 56(9): 1335-1339. |
[10] | 曹亚雨, 刘惠蓉, 彭玉娇, 杨权, 杨思锐, 陶彦灵, 温贤秀. 肾移植受者手术决策参与满意度的调查研究[J]. 中华护理杂志, 2021, 56(9): 1340-1345. |
[11] | 齐晓玖, 王慧婷, 刘宇, 杨晶, 乔红梅, 田家利, 唐丽安, 张素. 临床护士对氧疗安全认知的现状调查[J]. 中华护理杂志, 2021, 56(9): 1346-1351. |
[12] | 孙文静, 谢莉玲, 黄龙贤, 游海玲, 屈芙蓉, 左燕. 鼻饲患者两种误吸风险预测模型的外部验证及比较[J]. 中华护理杂志, 2021, 56(9): 1352-1356. |
[13] | 陈虹秀, 杨莘, 胡秀英, 邓宝凤, 马红梅, 张艾灵, 方海云, 石泽亚, 丁福, 王传霞, 亓恒美, 黄沂, 张俊梅, 马秀花, 鲁丽萍, 王申, 沙丽艳, 曹军华. 我国30个省份老年专科护士队伍培养与工作现状调查研究[J]. 中华护理杂志, 2021, 56(9): 1363-1368. |
[14] | 王雪瑞, 陈雁, 王清, 夏冬云, 许玲. 基于服务质量差距模型的“互联网+护理服务”质量评价指标研究[J]. 中华护理杂志, 2021, 56(9): 1369-1376. |
[15] | 郑丽丽, 吕丹尼, 唐晓敏, 陈丽骊, 张婷, 傅藏藏, 诸纪华, 汪金燕. 3例先天性长段缺失型食管闭锁患儿行胃造瘘术的术后护理[J]. 中华护理杂志, 2021, 56(9): 1377-1379. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||