下肢肌力訓練可否降低老年人跌倒發生Can lower limb muscle strength training reduce the incidence of falls in the elderly

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2020-07-01 已刊登
新刊登 綜 整 預防/治療/介入類型

作  者

黃珮琪*

實證知識類別

A 類:實證健康照護綜整

PICO

治療/預防性問題

治療/介入措施

一般外科醫學 General Surgery

科別

  • 老化 Ageing

中文關鍵詞

老年人、跌倒、下肢肌力運動

英文關鍵詞

Elderly、Muscle Strength ofLower Extremities、Incident Falls

機構名稱

長庚醫療財團法人高雄長庚紀念醫院

申請單位

一般外科

中文摘要

形成臨床提問:
人口高齡化為全球不可逆之趨勢,在眾多的老化與健康的議題中,跌倒問題最被重視,老年人跌倒導致的身體傷害和生活品質驟降,影響家庭及社會的負擔,如何減少發生儼然為醫院最重要的目標。形成臨床提問-探討下肢肌力訓練可否降低老年人跌倒發生? PICO問題:P:老年人、I:下肢肌力運動、C:常規護理、O:跌倒。
文獻搜尋的方法與分析:
實證文獻搜尋資料庫包含:Cochrane library、PubMed、Embase、中文電子期刊資料庫搜尋。關鍵字包含:P(older people、Elderly、older adults)、I(Muscle Strength of Lower Extremities、Exercise)、C(Routine care)、O(Falls、Falls prevention、Incident Falls)。關鍵字和PICO符合,Me SH term搜尋,運用布林邏輯原則,用AND聯結,篩選語言為中英文。
文獻的品質評讀:
搜尋2015-2020年結果:中英文文獻資料庫共39篇,其中扣除重複、非RCT、非SR研究、研究設計方法不符合PICO、等級低,排除並刪除文獻後,共評讀3篇,採用2013年版的CASP評讀SR文章的工具來評讀文獻效度、重要性與應用性(VIP)。
結論與建議:
此篇旨探討下肢肌力訓練對老年人跌倒發生是否可改善?形成PICO後利用實證醫學策略,搜尋並篩選相關文獻並經嚴格評析3篇文獻,瞭解增加下肢肌力訓練運動後可以有改善老年病人下肢肌耐力、動態平衡預防及延緩失能為肌力強化方案及自我照護能力,提升生活品質,提供臨床參考期望應用於臨床照護,落實病人安全,締造醫病雙贏的照護。

英文摘要

Ask an answerable question (PICO):
The aging of the population has become an irreversible trend in the world. Among the many aging and health issues, the problem of falls is the most important issue. The physical injury and quality of life caused by the fall of the elderly are affected. The burden on the family and society is reduced. The most important goal of the hospital. Form a clinical question-to explore whether lower limb muscle strength training can reduce the occurrence of falls in the elderly? PICO questions: P: Elderly people, I: Lower limb muscle exercises, C: Routine care, O: Falling.
The Method and Analysis of Literature Review:
The empirical literature search database includes: Cochrane library, PubMed, Embase, Chinese electronic journal database search. Keywords include: P (older people, Elderly, older adults), I (Muscle Strength of Lower Extremities, Exercise), C (Routine care), O (Falls, Falls prevention, Incident Falls). The keywords are consistent with PICO, Me SH term search, use the Boolean logic principle, and connect with AND, and the selection language is Chinese and English.
Critical Appraisal:
Search results for 2015-2020: A total of 39 articles in the Chinese and English literature database, of which repetitions, non-RCT, non-SR studies, research design methods that do not meet PICO, and low grades are deducted. After the documents are excluded and deleted, a total of 3 articles are evaluated and adopted The 2013 version of CASP is a tool for evaluating SR articles to evaluate the validity, importance and applicability (VIP) of the literature.
Conclusions and Recommendations:
This article aims to explore whether lower limb muscle strength training can improve the occurrence of falls in the elderly? After the formation of PICO, using empirical medical strategies, searching and screening relevant documents and rigorously analyzing 3 documents, it is understood that increasing lower limb muscle strength training can improve the muscle endurance of elderly patients, prevent dynamic balance and delay disability as a muscle strengthening program And self-care ability, improve the quality of life, provide clinical reference and expect to be used in clinical care, implement patient safety, and create a win-win care for medical and disease.