• Atencion primaria · Aug 2021

    Meta Analysis

    [The care in the prevention of falls in elderly people: Meta-summary of qualitative articles].

    • Eva Abad-Corpa, Beatriz Lidón-Cerezuela, Cristóbal Meseguer Liza, Claudia Patricia Arredondo-Gónzalez, and Carmen de la Cuesta-Benjumea.
    • Departamento de Enfermería, Facultad de Enfermería, Universidad de Murcia, Murcia, España; Hospital Reina Sofía, Servicio Murciano de Salud, Murcia, España; Instituto Murciano de Investigación Biosanitaria, IMIB-Arrixaca, El Palmar, Murcia, España; Unidad de Investigación en Cuidados y Servicios de Salud, Investén-isciii. Instituto de Salud Carlos III, Madrid, España; Centro de Investigación Biomédica en Red sobre Fragilidad y Envejecimiento Saludable, CIBERFES. Instituto de Salud Carlos III, Madrid, España.
    • Aten Primaria. 2021 Aug 1; 53 (7): 102067102067.

    ObjectiveTo summarize the qualitative evidence on the role of care providers in the prevention of falls of persons over 65 years of age in centres and in the community.DesignMeta-summary of qualitative evidence following the aggregation method.Data SourcesExtensive manual search of 16 databases (CINAHL, Pubmed/Medline, Embase, PsycInfo, Cochrane Library, PeDRO, Opengrey (Reports), Cuiden, Cuidatge, Enfispo, Medes, Lilacs, Teseo, Dissertation and Thesis Global and Ibecs), in English, French, Spanish and Portuguese; no time limit.Selection Of StudiesSelection and blind critical appraisal by pairs. A first relevance and relevance screening and a second critical appraisal screening were carried out. A total of 4170 articles were located; 41 qualitative articles were critically appraised and 31 were selected.Data ExtractionData regarding author, year, study design, location, participants (number, age, sex and occupation), study methods and findings were extracted.ResultsThe analysis revealed four major themes: precipitating factors, preventive models, feelings and decision-making process. It also highlights the difficult act of ethical balance, the role of the institution in prevention and the fragmentation of care, as keys to successful implementation.ConclusionsThe findings show the complexity of fall prevention and the need to incorporate care providers' opinions in preventive models.Copyright © 2021 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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