Intervenções de Enfermagem para a prevenção de quedas em idosos institucionalizados:  uma Revisão Integrativa

Rosa Martins; Nélia Carvalho; Ricardo Loureiro; Beatriz Ruano; Beatriz Souza; Maria Figueiredo; Matilde Trepado; Joana Bernardo

doi:10.48492/servir0213.42496

Authors

Rosa Martins Piaget Institute, Viseu, Portugal https://orcid.org/0000-0001-9850-9822
Nélia Carvalho ULS Viseu Dão-Lafoes, USF -Montemuro, Viseu, Portugal https://orcid.org/0000-0002-7065-5366
Ricardo Loureiro School of Health Sciences, Center for Innovative Care and Health Technology (ciTechcare), Polytechnic of Leiria, Leiria, Portugal
Beatriz Ruano Piaget Institute, Viseu, Portugal
Beatriz Souza Piaget Institute, Viseu, Portugal
Maria Figueiredo Piaget Institute, Viseu, Portugal
Matilde Trepado Piaget Institute, Viseu, Portugal
Joana Bernardo School of Health Sciences, Center for Innovative Care and Health Technology (ciTechcare), Polytechnic of Leiria, Leiria, Portugal https://orcid.org/0000-0003-3614-9061

DOI:

https://doi.org/10.48492/servir0213.42496

Keywords:

fall prevention, nursing interventions, institutionalized older adults, long-term care, patient safety, evidence-based practice

Abstract

Introduction: Falls among institutionalized older adults are a major public health issue, leading to adverse physical, psychological, and social consequences. Nursing interventions play a central role in fall prevention, yet the effectiveness of different approaches remains a subject of study.

Objective/s: This integrative literature review evaluates the impact of nursing-led interventions in reducing fall risk in long-term care settings.

Methods: A systematic search was conducted across PubMed, SciELO, and Google Scholar to identify relevant studies on nursing interventions for fall prevention. After applying inclusion and exclusion criteria, five studies were selected, including prospective studies, methodological research, and randomized controlled trials.

Results: The findings indicate that multifaceted nursing interventions, such as structured fall prevention protocols, individualized risk assessments, strength and balance training, and environmental modifications, effectively reduce fall incidence. Additionally, technology-assisted interventions, such as exergames and whole-body vibration therapy, showed potential benefits but require further validation.

Conclusion: This review underscores the critical role of nurses in mitigating fall risks and calls for evidence-based, interdisciplinary strategies to improve safety and well-being among institutionalized older adults.

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References

Araújo, A. H., Neto, Patrício, A. C. F. A., Ferreira, M. A. M., Rodrigues, B. F. L., Santos, T. D. D., Rodrigues, T. D. B., & Silva, R. A. R. D. (2017). Falls in institutionalized older adults: risks, consequences and antecedents. Revista brasileira de enfermagem, 70(4), 719–725. https://doi.org/10.1590/0034-7167-2017-0107

Baixinho, C. R. S. L., Dixe, M. A. C. R., & Henriques, M. A. P. (2017). Falls in long-term care institutions for elderly people: Protocol validation. Revista Brasileira de Enfermagem, 70, 740–746. https://doi.org/10.1590/0034-7167-2017-0109

Donato, H., & Donato, M. (2019). Etapas na condução de uma revisão sistemática. Acta Médica Portuguesa, 32, 227–235. https://doi.org/10.20344/amp.11923

Fu, A. S., Gao, K. L., Tung, A. K., Tsang, W. W., & Kwan, M. M. (2015). Effectiveness of exergaming training in reducing risk and incidence of falls in frail older adults with a history of falls. Archives of Physical Medicine and Rehabilitation, 96, 1607–1614. https://doi.org/10.1016/j.apmr.2015.08.427

Giovannini, S., Brau, F., Galluzzo, V., Santagada, D. A., Loreti, C., Biscotti, L., Laudisio, A., Zuccalà, G., & Bernabei, R. (2022). Falls among older adults: Screening, identification, rehabilitation, and management. Applied Sciences 12(15), 7934. https://doi.org/10.3390/app12157934

Higgins, J. P. T., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M. J., & Welch, V. A. (Eds.). (2022). Cochrane handbook for systematic reviews of interventions (Version 6.3). Cochrane. https://training.cochrane.org/handbook/current/chapter-03

Lee, H.-C., Hsieh, C.-J., & Jerng, J.-S. (2024). Incidence and factors associated with falls in older people in a long-term care facility: A prospective study in Taiwan. Healthcare, 12(10), 959. https://doi.org/10.3390/healthcare12100959

Martins, R., Carvalho, N., Batista, S., & Dinis, A. (2022). Falls in Elderly: Study of the Prevalence and Associated Factors. European Journal of Development Studies, 2(3), 12–17. https://doi.org/10.24018/ejdevelop.2022.2.3.92

Mena-Tudela, D., González-Chordá, V. M., Cervera-Gasch, A., Maciá-Soler, M. L., & Orts-Cortés, M. I. (2018). Effectiveness of an evidence-based practice educational intervention with second-year nursing students. Revista Latino-Americana de Enfermagem, 26, e3026. https://doi.org/10.1590/1518-8345.2502.3026

Sadaqa, M., Németh, Z., Makai, A., Prémusz, V., & Hock, M. (2023). Efetividade de intervenções de exercícios na prevenção de quedas em idosos ambulatoriais da comunidade: uma revisão sistemática com síntese narrativa. Fronteiras em saúde pública, 11, 1209319. https://doi.org/10.3389/fpubh.2023.1209319

Sousa, L. M. M., Marques-Vieira, C., Severino, S., & Antunes, V. (2017). The methodology of integrative review of literature in nursing. Revista de Investigação em Enfermagem, 21, 17–26. https://www.researchgate.net/publication/321319742

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., ... Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71

Sitjà-Rabert, M., Martínez-Zapata, M. J., Fort Vanmeerhaeghe, A., Rey Abella, F., Romero-Rodríguez, D., & Bonfill, X. (2015). Effects of a whole body vibration (WBV) exercise intervention for institutionalized older people: A randomized, multicentre, parallel, clinical trial. Journal of the American Medical Directors Association, 16, 125–131. https://doi.org/10.1016/j.jamda.2014.07.018

Sousa, J. A. V., Stremel, A. I. F., Grden, C. R. B., Borges, P. K. O., Reche, P. M., & Silva, J. H. O. (2016). Risk of falls and associated factors in institutionalized elderly. Revista Rene, 17, 416–421. https://doi.org/10.15253/2175-6783.2016000300016

Statistics Portugal. (2023). Resident population estimates. https://www.ine.pt/xportal/xmain?xpid=INE&xpgid=ine_destaques&DESTAQUESdest_boui=594893466&DESTAQUESmodo=2&xlang=pt

World Health Organization. (2020). UN Decade of Healthy Ageing: Plan of Action 2021–2030. WHO. https://cdn.who.int/media/docs/default-source/decade-of-healthy-ageing/decade-proposal-final-apr2020-en.pdf?sfvrsn=b4b75ebc_28