瑞士医疗体系内害怕跌倒的预防性处理选择：立场文件

2021-10-01 Z Gerontol Geriatr . 2021 Sep 29. doi: 10.1007/s00391-021-01957-w

害怕跌倒 (FoF) 会导致社交、功能、身体和心理症状，包括继发性障碍，如抑郁症和一般焦虑症 (GAD)。恶性循环发展，症状维持和加强 FoF 及其后果，包括增加跌倒的风险。在本立场文件中，我们建议使

中文标题：

英文标题：

Preventive treatment options for fear of falling within the Swiss healthcare system : A position paper

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发布日期：

2021-10-01

简要介绍：

害怕跌倒 (FoF) 会导致社交、功能、身体和心理症状，包括继发性障碍，如抑郁症和一般焦虑症 (GAD)。恶性循环发展，症状维持和加强 FoF 及其后果，包括增加跌倒的风险。在本立场文件中，我们建议使用国际跌倒疗效量表 (FES-I) 问卷筛查 FoF。高分 (> 23) 的存在需要在临床访谈期间对衰弱和抑郁症和 GAD 的排除进行调查。根据 Fried 虚弱标准对虚弱进行分层，将根据最重要的健康问题指导治疗方案。体弱的老年人应该首先接受物理治疗和运动干预，因为身体残疾是他们最显着的特征，而体弱和非体弱的老年人应该接受多组分干预，包括认知行为疗法 (CBT) 和体育锻炼。以 GAD 和抑郁症为主的非虚弱者应接受专门的 CBT 干预。目前，瑞士只有运动干预可用于 FoF 治疗。虽然一些运动干预使用 CBT 元素，例如目标设定和对行为和感受的反思，但它们没有被系统地使用，不是质量保证程序的一部分，也没有解决 FoF 的心理认知方面。由于体弱者和非体弱者是使用这些服务的最大群体，因此通过纳入 CBT 组件来调整当前的锻炼计划将是提供优化护理的最实用方法。

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2022-01-06 ms3000001777893761

学习

51 0
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2021-11-02 ms1000000251410274

学习

61 0
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2021-11-02 1591ff5c5cm

学习了！！

0 0
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2021-11-02 RENYUQIONG200798

感谢分享！

59 0
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2021-11-01 1207866fm50(暂无昵称)

谢谢分享

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