数字化技术用于老年人跌倒预防与管理体验的质性研究Meta整合OA
Experiences of older adults using digital technologies for fall prevention and management:a Meta-syn-thesis of qualitative research
目的 系统整合老年人使用数字化技术进行跌倒预防与管理的体验,为优化社区及居家防跌倒护理干预提供依据.方法 计算机检索PubMed、Cochrane Library、Web of Science、Embase、MEDLINE、中国知网、万方、维普及中国生物医学文献数据库中相关质性研究,检索时限为建库至2026年7月.采用 Meta 整合方法分析结果.结果 共纳入17篇文献,提炼30个研究结果,归纳为11个类别,形成3个整合结果:数字化技术可增强老年人的安全感、自我管理感及居家训练便利性,但技术适配不足和多重障碍限制持续使用;老年人期待适老化设计、可靠响应和持续专业支持.不同技术体验各有侧重,传感监测与智能辅助设备突出安全保障与使用负担,手机应用程序和平板电脑训练程序受数字素养影响较大,远程监测平台更关注响应与照护衔接.结论 数字化技术应用于老年人跌倒预防与管理具有一定价值,但需根据老年人跌倒风险、身体功能、数字素养和照护支持情况进行技术匹配,并建立使用指导、报警响应和延续护理机制.
Objective To synthesize older adults experiences of using digital technologies for fall prevention and management,and to provide a reference for optimizing fall-prevention nursing interventions in community and home-based settings.Methods A system-atic search was conducted in PubMed,Cochrane Library,Web of Science,Embase,MEDLINE,CNKI,Wanfang Data,VIP,and the Chi-nese Biomedical Literature Database(CBM)for relevant qualitative studies,with the search period from inception to July 2026.The findings were synthesized using meta-synthesis.Results A total of 17 studies were included.From these,30 findings were extract-ed and grouped into 11 categories,which were further synthesized into 3 core findings.Digital technologies enhanced older adults sense of safety,self-management and the convenience of home-based training,whereas insufficient technology fit and multiple barriers limit-ed sustained use.Older adults expected age-friendly design,reliable responsiveness,and continuous professional support.Different technologies presented varying experiential emphases:Sensor-based monitoring and smart assistive devices highlighted safety assur-ance alongside usage burden;mobile applications and tablet-based training programs were more affected by digital literacy;and remote monitoring platforms emphasized responsiveness and care coordination.Conclusion Digital technologies have potential value in fall prevention and management among older adults.Technology matching should be based on fall risk,physical function,digital literacy,and caregiving support,and mechanisms for usage instruction,alarm response,and continuity of care should be established.
王凯祥;潘晓彦;张笑;王甜甜;蔡瑞;杜云红;王莉
湖南中医药大学 护理学院,湖南 长沙 410208||青岛市中医医院,山东 青岛 266033湖南中医药大学 护理学院,湖南 长沙 410208青岛市中医医院,山东 青岛 266033湖南中医药大学 护理学院,湖南 长沙 410208湖南中医药大学 护理学院,湖南 长沙 410208青岛市中医医院,山东 青岛 266033湖南中医药大学 护理学院,湖南 长沙 410208||青岛市中医医院,山东 青岛 266033
医药卫生
数字化技术老年人跌倒预防跌倒管理质性研究Meta整合
digital technologyolder adultsfall preventionfall managementqualitative researchMeta-synthesis
《护理学报》 2026 (17)
30-37,8
湖南省高校改革发展资金"老年护理"研究项目(202445)
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