关键词: 帕金森病, 跌倒, 预防, 证据总结, 循证护理学

Abstract:

Objective To evaluate and summarize the relevant evidence of falling prevention in patients with Parkinson’s disease,in order to provide references for clinical medical staff. Methods The evidence-based nursing method was used to systematically retrieve the clinical decisions,guidelines,evidence summaries,systematic evaluations and expert consensuses on the prevention of falls in patients with Parkinson’s disease in relevant databases at home and abroad and professional academic websites of Parkinson’s disease. The retrieval time limit was from the establishment of the databases to August 31,2021. After the methodological quality evaluation,the evidence was extracted and summarized according to the subject. Results A total of 18 pieces of the literature were involved,including 2 clinical decisions,2 guidelines,1 evidence summary,12 systematic reviews and 1 expert consensus. Combined with the judgment of professionals,the evidence was summarized from 5 aspects：evaluation and monitoring,daily safety management,sports management,nutritional support and education and training,and 24 pieces of best evidence were formed. Conclusion This study comprehensively and scientifically summarizes the best evidence of fall prevention and management plan for patients with Parkinson’s disease. In the process of evidence transformation,evidence users should consider specific situations,pertinently select the evidence,formulate the individualized fall prevention and management plan for patients with Parkinson’s disease,reduce the risk of falls and improve the quality of care.

Key words: Parkinson’s Disease, Fall, Prevention, Summary of Evidence, Evidence-Based Nursing