[Effect of a multidimensional intervention for prevention of falls in the eldery].

Autor:	Bustamante-Troncoso C; Escuela de Enfermería, Pontificia Universidad Católica de Chile, Santiago de Chile, Chile., Herrera-López LM; Escuela de Enfermería, Pontificia Universidad Católica de Chile, Santiago de Chile, Chile., Sánchez H; Servicio de Salud Metropolitano Sur, Santiago de Chile, Chile., Pérez JC; Facultad de Psicología, Universidad del Desarrollo, Santiago de Chile, Chile., Márquez-Doren F; Escuela de Enfermería, Pontificia Universidad Católica de Chile, Santiago de Chile, Chile. Electronic address: fmarquez@uc.cl., Leiva S; Centro de Salud Familiar Félix de Amesti, Departamento de Salud Municipalidad de Macul, Santiago de Chile, Chile.
Jazyk:	Spanish; Castilian
Zdroj:	Atencion primaria [Aten Primaria] 2020 Dec; Vol. 52 (10), pp. 722-730. Date of Electronic Publication: 2019 Nov 15.
DOI:	10.1016/j.aprim.2019.07.018
Abstrakt:	Objective: To evaluate the effect of a multidimensional intervention on the perception and management of risk factors and frequency of falls in independent elderly people living in the community. Design: Randomised clinical trial. Setting: Family health centre, primary care. Participants: Independent elderly people living in the community. Intervention: For intervention group (IG) a multidimensional intervention, consisting of home visits and telephone follow-up was carried out for 5 months (n=77), and those assigned to the control group (CG, n=77) received usual care in the family health centre. Main Measurements: Perception of risk of falls, number of risk factors and number of falls in the study period. Results: In both groups there were increases in the perception of risk factors for falling associated with walking (IG: P<.001 and CG: P<.001). Belonging to the IG was significantly associated with a decrease in the risk factors associated with surfaces (r=0.25) and shoes (r=0.24), as well as an increase in the perception of risk of falls associated with walking (r=0.21) and the presence of objects or furniture (r=0.36). In the IG, 5 participants (7.9%) suffered at least one fall in the 5-month period and 18 (27.7%) patients in the CG (P=.004). Conclusions: The multidimensional intervention was effective in reducing the frequency of falls and in the management of extrinsic risk factors associated with surfaces, lighting, and support devices. (Copyright © 2019 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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