Efectividad de las intervenciones enfermeras en la prevención de caídas en adultos mayores en la comunidad y en entornos sanitariosuna revisión sistemática y metaanálisis de ECA

  1. María Isabel Orts-Cortés 1
  2. María José Cabañero-Martínez 2
  3. Cristóbal Meseguer-Liza 3
  4. Claudia P. Arredondo-González 4
  5. Carmen de la Cuesta-Benjumea 5
  6. Eva Abad-Corpa 6
  1. 1 Department of Nursing, University of Alicante, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Nursing and Healthcare Research Unit (Investén-ISCIII), CIBER of Frailty and Healthy Aging (CIBERFES) Instituto de Salud Carlos III, Madrid, España
  2. 2 Department of Nursing, University of Alicante, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, España
  3. 3 Adjunct Professor of Nursing, University of Murcia, Nurse Murcia Health Service, Murcia, España
  4. 4 Lecturer, Department of Health Care, San Juan de Dios Foundation, University Pontificia Comillas, Madrid, España
  5. 5 Professor, University of Alicante, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, España
  6. 6 Professor, University of Murcia, Nurse, Murcia Health Service, IMIB-Arrixaca. Murcia, Nursing and Healthcare Research Unit (Investén-ISCIII), CIBER of Frailty and Healthy Aging (CIBERFES), Instituto de Salud Carlos III, Madrid, España
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Zeitschrift:
Enfermería clínica

ISSN: 1130-8621

Datum der Publikation: 2024

Ausgabe: 34

Nummer: 1

Seiten: 4-13

Art: Artikel

DOI: 10.1016/J.ENFCLI.2023.08.002 DIALNET GOOGLE SCHOLAR

Andere Publikationen in: Enfermería clínica

Zusammenfassung

Objective To estimate the effectiveness of fall prevention programs in people aged 65 years and older involving nursing professionals. Methods We included available full-text randomized clinical trials on nurse-led prevention of falls in the community in people over 65 years of age and reporting the incidence of such falls. An extensive search was performed in 14 databases covering the period 2016 to 2018 for publications in English, French, Portuguese and Spanish. The quality of the papers was assessed independently and blindly by reviewers working in pairs using the risk of bias dominios of the Cochrane Collaboration. The hazard ratio was used as a measure of the effect size of the incidence of falls. A random-effects model was assumed for statistical analyses. The influence of moderator variables of the studies on the effect sizes was performed using ANOVAs and its 95% CI for each moderator category. Results A total of 31 randomized clinical trials were selected with 25,551 participants. The most frequent type of intervention was education (57.1%), followed by multifactorial models (37.1%). The probability of falling was significantly reduced by 13% in the intervention groups compared to the control groups (RR +=0.87). Multifactorial (RR +=0.89) and education-based (RR=+0.84) interventions significantly reduced the probability of falls by 11% and 16%, respectively. Conclusions Discarding publication bias prevention programs carried out by nurses produce a significant 10% reduction in falls. Education-based and multifactorial interventions are the most effective when conducted by nurses.

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Fuente de los datos: Dialnet