Acceptance of hip protectors for hip fracture prevention in nursing homes

被引:63
作者
Hubacher, M [1 ]
Wettstein, A
机构
[1] Swiss Council Accident Prevent Bfu, CH-3001 Bern, Switzerland
[2] City Zurich Med Serv, CH-8035 Zurich, Switzerland
[3] Univ Zurich, Ctr Gerontol, CH-8006 Zurich, Switzerland
关键词
acceptance; fall risk; hip fracture; hip protector; nursing home;
D O I
10.1007/s001980170057
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In order to prevent hip fractures 548 fall-prone senior citizens living in 20 nursing homes participated in a randomized controlled trial of hip protectors. One hundred and sixty-four were randomly selected into the control group and 384 into the intervention group. Of the patients in the intervention group 138 (35.9%) wore the protector throughout the whole 10 months of the study's duration. 124 (32.3%) quit wearing the protectors after an initial wearing period and 122 (31.8%) refused to wear them at all. The regular wearers had the protector on during an average of roughly 12 hours a day, so they were protected for 50% of their exposure time (including at night). Fifty-nine percent of the drop-outs stopped wearing the protectors in the first two study months, mostly for non-medical reasons. Calculation by a forecasting model showed that those senior citizens who were initially prepared to wear the protector tended to be those who were physically restricted.
引用
收藏
页码:794 / 799
页数:6
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