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Advisor(s)
Abstract(s)
As quedas e o risco de quedas aumentam com a idade e com o nível de fragilidade associada ao envelhecimento, daí o risco de quedas ser um fenómeno de interesse para os enfermeiros. Em Portugal, a Direção Geral de Saúde recomenda testes de avaliação da mobilidade, aptidão física efuncional.Objetivo:Identificar os testes e instrumentos utilizados para avaliar o risco de queda no idoso que resida na comunidade. Método: Revisão sistemática da literatura, que utiliza as recomendações do Joanna Briggs Institute na estratégia PICo enas recomendações PRISMA.A estratégia PICo definiu os critérios de inclusão: População (P) -os idosos; Área de Interesse (I) -instrumentos e testes que permitem avaliar o risco de quedas, e Contexto (Co) -viver na comunidade. A pesquisa eletrónica foi feita nas bases de dados EBSCOHost® CINAHL Complete e MEDLINE Complete, utilizando os termos fall*, community dwelling, fall risk factors, toolsescale.Resultados:Foram selecionados 24 estudos, nos quais se identificou seis escalas que avaliam o risco de queda, três relativas ao medo de cair e sete testes que avaliam um fator de risco que pode ser preditivo do risco de queda em idosos que residem em comunidade.Conclusões: Os resultados enfatizam o número de instrumentos disponíveis e a importância dosenfermeiros utilizarem na sua prática clínica instrumentos válidos, fiáveis e sensíveis de modo a obterem diagnósticos acurados.
Falls and risk of falls increase with age and with the level of frailty associated with aging, hence the risk of falls is a phenomenon of interest to nurses. In Portugal, the Directorate-General of Health recommends evaluation tests for mobility, physical and functional fitness. Objective: Identify the tests and the assessment tools used to assess the fall risk in the elderly who dwell in the community. Method: Systematic Literature Review that was based on the recommendations of the Joanna Briggs Institute on PICo strategy and based on PRISMA. The PICo strategy defined the inclusion criteria: Population (P) - the elderly; Interest Area / Intervention (I) - instruments and tests for assessing the risk of falls and Context (Co) -live in the community. The electronic search was conducted in EBSCOHost® CINAHL Complete and MEDLINE Complete, using the search terms fall*, community dwelling, fall risk factors, tools and scale. Results: A sample of 24 studies was selected. Six scales for the assessment of the risk of fall were identified, three scales for the assessment fear of fall and seven tests for the assessment of risk factors that may be predictive of the risk of falls in the elderly living in the community. Conclusions: The results highlight that there are several tools and tests and the importance of using valid, reliable and sensitive instruments by nurses in their clinical practice in order to obtain accurate diagnoses.
Falls and risk of falls increase with age and with the level of frailty associated with aging, hence the risk of falls is a phenomenon of interest to nurses. In Portugal, the Directorate-General of Health recommends evaluation tests for mobility, physical and functional fitness. Objective: Identify the tests and the assessment tools used to assess the fall risk in the elderly who dwell in the community. Method: Systematic Literature Review that was based on the recommendations of the Joanna Briggs Institute on PICo strategy and based on PRISMA. The PICo strategy defined the inclusion criteria: Population (P) - the elderly; Interest Area / Intervention (I) - instruments and tests for assessing the risk of falls and Context (Co) -live in the community. The electronic search was conducted in EBSCOHost® CINAHL Complete and MEDLINE Complete, using the search terms fall*, community dwelling, fall risk factors, tools and scale. Results: A sample of 24 studies was selected. Six scales for the assessment of the risk of fall were identified, three scales for the assessment fear of fall and seven tests for the assessment of risk factors that may be predictive of the risk of falls in the elderly living in the community. Conclusions: The results highlight that there are several tools and tests and the importance of using valid, reliable and sensitive instruments by nurses in their clinical practice in order to obtain accurate diagnoses.
Description
Keywords
Acidentes por quedas Fatores de risco Avaliação de risco Idoso Accidental fall Aged Risk assessment Risk factors