老年人跌倒警觉度现状及影响因素的Meta分析OA

Objective To systematically evaluate the status and influencing factors of self-awareness of falls among older adults.Methods Electronic databases including Embase,PubMed,Web of Science,Cochrane Library,CNKI,WanFang Data,VIP,and CBM were searched from inception to August 2025 for relevant studies.Study selection,data extraction,and quality assessment were performed independently by two reviewers.Meta-analysis was conducted using Stata 18.0.Results Thirteen studies involving 5,297 older adults were included.The pooled mean score for self-awareness of falls was 60.87(95％CI 59.60～63.14).The following factors were significantly associated with self-awareness of falls(all P＜0.05):educational level(SMD=0.47,95％CI 0.26～0.69),self-care ability(SMD=-0.35,95％CI-0.56～-0.15),fall risk(SMD=0.70,95％CI 0.35～1.06),history of falls(SMD=0.67,95％CI 0.19～1.15),fear of falling(SMD=0.60,95％CI 0.23～0.97),sedentary behavior(SMD=-0.65,95％CI-0.77～-0.53),living alone(SMD=-0.38,95％CI-0.52～-0.24),frequency of group activities(SMD=0.60,95％CI0.08～1.12),and frequency of fall prevention education(SMD=0.44,95％CI0.21～0.67).Conclusion The level of self-awareness of falls among older adults is relatively high.Interventions targeting these modifiable factors are warranted to translate this self-awareness into preventive actions.