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BMC Health Services Research
Published in: BMC Health Services Research 1/2020

Open Access 01-12-2020 | Research article

Falls prevention interventions for community-dwelling older people living in mainland China: a narrative systematic review

Authors: Pengpeng Ye, Yishu Liu, Jing Zhang, Ke Peng, Xuru Pan, Yang Shen, Shaoming Xiao, Elizabeth Armstrong, Yuliang Er, Leilei Duan, Rebecca Ivers, Lisa Keay, Maoyi Tian

Published in: BMC Health Services Research | Issue 1/2020

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Abstract

Background

Falls in community-dwelling older people have been recognised as a significant public health issue in China given the rapidly growing aged population. Although there are several reviews documenting falls prevention programs for community-dwelling older adults, no systematic reviews of the scope and quality of falls prevention interventions in Mainland China exist. Therefore, the aim of this study was to systematically review falls prevention interventions for community-dwelling older people living in Mainland China.

Methods

We systematically reviewed literature from Chinese and English databases. All types of randomised controlled trials (RCTs) and quasi-experimental studies published from 1st January 1990 to 30th September 2019 were included. Observational studies and studies in care facilities and hospitals were excluded. Narrative synthesis was performed to summarise the key features of all included studies. Quality assessment was conducted using the Cochrane Risk of Bias Tool and ROBINS-I tool for randomised and non-randomised studies respectively.

Results

A total of 1020 studies were found, and 101 studies were included in the analysis. Overall, very few high quality studies were identified, and there was insufficient rigor to generate reliable evidence on the effectiveness of interventions or their scalability. Most interventions were multiple component interventions, and most studies focused on outcomes such as self-reported falls incidence or awareness of falls prevention.

Conclusion

There is an opportunity to undertake an evaluation of a rigorously-designed, large-scale falls prevention program for community-dwelling older people in Mainland China. To help mitigate the rising burden of falls in Mainland China, recommendations for future falls prevention interventions have been made. These include: (1) target disadvantaged populations; (2) incorporate personalised interventions; and (3) investigate the effectiveness of those under-explored interventions, such as psychological, social environment, management of urinary incontinence, fluid or nutrition therapy and surgery. The study results will also potentially provide a useful evidence base for other low-and-middle income countries in a similar situation.
Appendix
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Literature
1.
WHO. WHO global report on falls prevention in older age. Geneva: World Health Organization; 2007.
2.
WHO. World report on ageing and health. Geneva: World Health Organization; 2015.
3.
Kyu HH, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990–2017: a systematic analysis for the global burden of disease study 2017. Lancet. 2018;392(10159):1859–922.CrossRef
4.
Leilei D, Pengpeng Y, Haagsma JA, Ye J, Yuan W, Yuliang E, et al. The burden of injury in China, 1990–2017: findings from the global burden of disease study 2017. Lancet Public Health. 2019;4(9):e449–e61.CrossRef
5.
Cumming RG. Intervention strategies and risk-factor modification for falls prevention: a review of recent intervention studies. Clin Geriatr Med. 2002;18(2):175–89.CrossRef
6.
Costello E, Edelstein JE. Update on falls prevention for community-dwelling older adults: review of single and multifactorial intervention programs. J Rehabil Res Dev. 2008;45(8):1135–52.CrossRef
7.
Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2012;9:CD007146.
8.
Kendrick D, Kumar A, Carpenter H, Zijlstra GA, Skelton DA, Cook JR, et al. Exercise for reducing fear of falling in older people living in the community. Cochrane Database Syst Rev. 2014;11:CD009848.
9.
El-Khoury F, et al. The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: systematic review and meta-analysis of randomised controlled trials. BMJ. 2013;347:f6234.PubMedPubMedCentral
10.
Hopewell S, Adedire O, Copsey BJ, Boniface GJ, Sherrington C, Clemson L, et al. Multifactorial and multiple component interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2018;7:CD012221.PubMed
11.
Hill KD, Suttanon P, Lin SI, Tsang WWN, Ashari A, Hamid TAA, et al. What works in falls prevention in Asia: a systematic review and meta-analysis of randomized controlled trials. BMC Geriatr. 2018;18(1):3.CrossRef
12.
Cheng P, Tan L, Ning P, Li L, Gao Y, Wu Y, et al. Comparative Effectiveness of Published Interventions for Elderly Fall Prevention: A Systematic Review and Network Meta-Analysis. Int J Environ Res Public Health. 2018;15(3).
13.
Sherrington C, Fairhall NJ, Wallbank GK, Tiedemann A, Michaleff ZA, Howard K, et al. Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2019;1:CD012424.PubMed
14.
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ. 2009;339:b2535.
15.
Higgins JPT, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928.
16.
Sterne JA, Hernán MA, Reeves BC, Savović J, Berkman ND, Viswanathan M, et al. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ. 2016;355:i4919.
17.
Shi J, QingYao H, Tao YK, Zhou BY, Yu PL, Duan CB, et al. Study on falls incidence and effectiveness of falls intervention programs in community-dwelling older people in Beijing. Zhongguo Lao Nian Xue Za Zhi. 2015;35(10):2792–4.
18.
Li W, Lu XQ, Wang SP, Zhou XP, Zhao HX, Zhang YY. Preventing falls in the elderly. Zhongguo Lao Nian Xue Za Zhi. 2009;29:2268–9.
19.
Yan Q, Liu F. The role of safety education and home environment reform in preventing the elderly falls. Zhonghua Hu Li Za Zhi. 2008;43(10):946–7.
20.
Yan YY, Li AH, Du AL. Intervention evaluation on fall injuries among community elderly people in Luoyang, Henan Province. Zhongguo Jian Kang Jiao Yu. 2012;28(4):332–3.
21.
Zhuang J, Wang JQ, Huang L, Wu YQ, Yu B, Li HJ, et al. The effect of a 3-month combined exercise intervention on gait in community-dwelling elderly women. Shenyang Ti Yu Xue Yuan Xue Bao. 2011;30(6):83–6.
22.
Zhang LL, Dalal K, Yin MM, Yuan DG, Andrews JY, Wang SM. The KAP evaluation of intervention on fall-induced injuries among elders in a safe community in Shanghai, China. PLoS One. 2012;7(3):e32848.CrossRef
23.
Wan QP, Quan L, Xu W, Long ZX, Zhang GH. Assessment of intervention on falls risk environment among old solitary people at home. Zhongguo Jian Kang Jiao Yu. 2012;28(4):282–5.
24.
Duan F. Effects of preventive exercise of falling on the community elderly physical performance. Shandong Ti Yu Xue Yuan Xue Bo. 2011;27(11):59–62.
25.
Deng YN. Study on comprehensive nursing intervention of preventing falls in the elderly patients with hypertension and diabetes in community. Yi Xue Xing Xi. 2014;27(12):131–2.
26.
Sun XL. Home-based elderly strengthens behavior training to prevent falls. Yi Xue Mei Xue Mei Rong. 2015;549.
27.
GuLan DM. The investigation on the role of safety education and home environment reform in preventing elderly people from falling. Zhongguo Wu Zhen Xue Za Zhi. 2012;12(1):129.
28.
Wang J, Jiang CY. Comprehensive interventions to prevent falls among elderly residents in the community. Hu Li Xue Bao. 2012;19(9B):61–3.
29.
Ma CH. Analysis of nursing measures preventing falls for elderly patients with hypertension in community. Xian Dai Hu Li. 2013;12(10):467–8.
30.
Zhang C. Current status investigation of knowledge-attltude—behavior about elderly falls in a high school community of Guangzhou and evaluatlon of the interventlon measures. Xian Dai Yi Yuan. 2013;13(9):152–3.
31.
Wang YH, Liu SX. Effects of different health education methods on the pain and falls of elderly people with high-risk osteoporotic bone fractures in the community. Zhongguo Lao Nian Xue Za Zhi. 2014;7:1697–9.
32.
Feng MM, Wang XY. Impact of fall prevention exercise intervention on exercise ability of community elderly. Zhongguo Ji Ceng Yi Yao. 2014;21(5):798–9.
33.
Mao XR, Du WJ, Xu YZ, Chen RM, Gong CT, Jiao NN, et al. Effectiveness of comprehensive nursing interventions in preventing falls in elderly patients with hypertension or diabetes in the community. Zhongguo Quan Ke Yi Xue Za Zhi. 2013;16(28):575–8.
34.
Jiang CX, Ma XY, Duan LL, Er YL, Zhang XJ, Gao C, et al. Study on effectiveness of falls intervention programs in community-dwelling older people in Shijiazhuang. Zhonghua Ji Bing Kong Zhi Za Zhi. 2017;21(8):772–5.
35.
Zhang CG, Yu JM, Cui ZW, Song R. Study on fall intervention of elderly population in urban communities in Xuhui District of Shanghai. Zhi Ye Yu Jian Kang. 2016;32(6):771–3.
36.
Xie Y. The analysis of comprehensive nursing intervention for the elderly in fall community. Zhong Guo Yi Yao Zhi Nan. 2013;11(5):331–2.
37.
Liu YC. Impact of recreational rehabilitation on the fall rate of the elderly in the community. Yi Yao Qian Yan. 2015;5(16):340–1.
38.
Liu XY, Yin BX. Application and effect of eight-section brocade exercise therapy in prevention of fall in community elderly. Hu Li Yan Jiu. 2016;30(2):423–4.
39.
Chen LP. Application of non-continuous education methods in the improvement of life quality and prevention of falls in elderly people in community. Qilu Hu li Za Zhi. 2014;20(22):3.
40.
Yang SL, Xu GN, Luo W. The effect of complex avoiding obstacles training in preventing falls in old people. Zhongguo Kang Fu Yi Xue Za Zhi. 2012;27(11):1026–30.
41.
Tang LJ, Yue CL, Xiang LC, Wu L, Peng YY. Effects of Otago exercise on fear of falling and balance ability in parkinson's discharge patients. Zhongguo Kang Fu Yi Xue Za Zhi. 2016;31(12):1383–5.
42.
Zheng WJ. Related factors analysis and nursing measurement for the community hypertension elderly fall. Zhongguo Chu Ji Wei Sheng Bao Jian. 2015;29(4):121–2.
43.
Xie XF, Huang ZH, Zhang HC. Application of community intervention combined with health education in preventing elderly people from falling. Zhongguo Min Zu Min Jian Yi Yao. 2016;25(4):161–2.
44.
Ren HJ, Hu JP, Li JB, Wang Y, Du XJ, An HY. The effect of the muscle strength training in the secondary prevention of decreased muscle strength for the elderly. Xian Dai Yu Fang Yi Xue. 2015;42(11):2021–4.
45.
Liu XY, Gao J, Bai DX, Yang XY, Zhang HY. Study on influence of eight-sectioned exercise on falls efficacy in community elderly. Hu Li Yan Jiu. 2015;29(1):90–2.
46.
Zhan JH. The effect of family prevention guidance on preventing elderly falls. Yi Xue Xing Xi. 2015;28(9):226.
47.
Guan SH. Application value of community care in the prevention of falls in elderly people. Shu Li Yi Yao Xue Za Zhi. 2017;30(4):623–4.
48.
Li YL. Analysis of the effect of comprehensive nursing care for falls prevention in older people with high blood pressure living in the community. Neimenggu Zhong Yi Yao. 2014;16:137–8.
49.
Liu LD. The evaluation of comprehensive nursing intervention in preventing fall of elderly hypertensive or diabetic patients in community. Lin Chuang Yi Yao Wen Xian Za Zhi. 2016;3(26):5235.
50.
Zhang X, Gong QQ, Yang YH, Ye CS. Assessment of the effect of multifactor assessment and intervention on the prevention of falls among the elderly in the community. Shanghai Yi Yao. 2016;37(16):51–3.
51.
Mei D, Jiang J, Wang XF, Liu D. Evaluation of intervention effect of improving environment on falls in the elderly. Shang Hai Yi Xue. 2017;6(4):14–8.
52.
Zhao D, Xie T, Guo WQ, Wang Y. The effect of knowing how to prevent people from falling in fear of falling in the community. Zhongguo Lao Nian Yi Xue Za Zhi. 2015;35:4950–2.
53.
Zhou LL. Analysis of the related factors and nursing care of falls in elderly patients with hypertension in community. Zhong Guo Yi Yao Zhi Nan. 2016;14(1):256.
54.
You MY, Zou GF, Ou HZ. Effect analysis of comprehensive nursing intervention in falls prevention of community senile hypertension or diabetes patients. Zhongguo Xian Dai Yao Wu Ying Yong. 2017;11(6):154–6.
55.
Ou YB, Gong YX, Liu D, Luan YM. The application of the fall risk management for the community elderly in the aspects of fall prevention. Zhongguo Kang Fu. 2015;30(4):277–9.
56.
Tao WY. Effectiveness of comprehensive nursing interventions in preventing falls in elderly patients with hypertension or diabetes in the community. Yang Sheng Bao Jian Zhi Nan. 2017;52:67–8.
57.
Deng XW, Zhou HB, Lei L, Peng J, Feng NP. Efficacy of health education program regarding prevention of falls among community-dwelling elderly adults in Shenzhen City. Zhongguo Jian Kang Jiao Yu. 2018;34(3):174–7.
58.
Xiao Y. The effectiveness of comprehensive nursing interventions in preventing falls in elderly patients with hypertension or diabetes in the community. Da Jia Jian Kang. 2015;9(3):199–200.
59.
Liu X, Wang GX, Lv YX, FengYang J, Wen LZ, Zhou YX. Risk factors and intervention measures of osteoporotic fracture in the elderly. Haerbing Yi Yao. 2017;37(3):221–2.
60.
Ji YQ. The prevention and nursing methods of preventing falls for community-dwelling older people with hypertension or diabetes. Yi Xue Shi Liao Yu Jian Kang. 2018:94–5.
61.
Zhang RL, Zhu LH. Preventive effects of comprehensive nursing care in elderly patients with high risk of osteoporotic fracture. Wenzhou Yi Ke Da Xue Xue Bao. 2018;48(3):225–6.
62.
Li W, Wang DX, Jiao LM. Application of continuous intervention in preventing falls after discharge for fracture patients in the community. Xi Nan Guo Fang Yi Yao. 2018;28(5):485–6.
63.
Chen CF, Xu H, Gu QL, Wu JF. Study on the effect of group baduanjin exercises on fall risk and quality of life of elderly patients. Zhongguo She Qu Yi Shi. 2016;32(28):170–2.
64.
Zhang J, Lin C. Balance training for the elderly fall risk intervention observation. Zhongguo Mei Tan Gong Ye Yi Xue Za Zhi. 2016;19(4):518–21.
65.
Mou YD. Evaluate the effect of comprehensive nursing interventions to prevent falls in elderly elderly patients with hypertension or diabetes. Zhongguo Bao Jian Ying Yang. 2016;10:199.
66.
Ma HX. The effect of comprehensive nursing intervention on prevention of falls in elderly patients with high blood pressure or diabetes in the community. Zhongguo Bao Jian Ying Yang. 2017;5:289.
67.
Li DY. The effect of comprehensive nursing intervention on preventing falls in elderly patients with hypertension or diabetes. Zhongguo Di Fang Bing Fang Zhi Za Zhi. 2017;32(5):588.
68.
Zhou LW. The value of community nursing in the prevention of falls in the elderly. Zhongguo Yao Wu Jing Ji Xue. 2016;6:141–2.
69.
Lu HL. Effect of comprehensive nursing care on prevention of falling in old people with high blood pressure or diabetes in community areas. Da Jia Jian Kang. 2017;11(21):244.
70.
Liang YY, Tan QN, Gan XY. Impact of comprehensive community intervention on preventing falls in elderly patients with chronic diseases. Qilu Hu li Za Zhi. 2019;25(09):78–90.
71.
Li J, Chen XL, Xie YH. The effect of nursing intervention on prevent occurrence of fall in elderly patients with hypertension or diabetes mellitus. Qiqihaer Yi Xue Yuan Xue Bao. 2017;38(9):1112–4.
72.
Li H, Jiang WZ, Ma JL, Wang XJ. The evaluation of the effect of power balance exercise on the prevention of falls in the elderly in community. Shanghai Yi Yao. 2016;37(24):52–4.
73.
Li J, Liu LL. The effect of community-based comprehensive nursing intervention for falls prevention in elderly patients with hypertension. Shijie Zui Xin Yi Yao Xue Xing Xi Wen Zhai. 2015;15(67):248–9.
74.
Jiang CY, Zhang Y. Evaluation of nursing interventions effect on falls in elderly people with moderate or high risk of falls in community. Jie Fang Jun Hu Li Za Zhi. 2017;34(15):10–3.
75.
Guo YF, Tian H, Li P, Cao JH, Sun YH, Zhang M. The evaluation on intervention effect of cognition, attitude, and behavior aiming at prevention of the elderly falls at home. Hu Li Yan Jiu. 2017;31(13):1625–7.
76.
Guo YF, Li P, Tian H, Cao JH. The investigation and analysis of the effect of balance ability evaluation and individualized intervention on the falls prevention of the elderly in the community. Xinjiang Yi Xue. 2016;46(4):415–7.
77.
Zeng YY. Effect of comprehensive intervention on reducing fall of community elderly. Hu Li Shi Jian Yu Yan Jiu. 2016;13(18):148–9.
78.
Yuan Y, Li B. Community-based fall prevention strategies evaluation for primary osteoporosis in elderly people. Zhongguo Quan Ke Yi Xue Za Zhi. 2019;22(28):3461–3.
79.
Wang JY, Zhao QS, Liu XF, He Y, Deng YL, Wang XC. Intervention study on falls among the elderly in Fangshan District in 2016. Zhongguo Man Xing Bing Yu Fang Yu Kong Za Zhi. 2017;25(12):912–4.
80.
Qiu X. The effect of comprehensive nursing intervention in preventing falls in elderly patients with hypertension or diabetes in community. Xin Xue Guan Fang Bing Zhi Shi. 2018;7:3–5.
81.
Liao SH. The effect of comprehensive nursing interventions on preventing falls in elderly patients with chronic diseases in the community. Haerbing Yi Yao. 2018;38(2):192–3.
82.
Wu YQ. Nursing interventions for safe living environment of elderly patients with hypertension and diabetes in community. Yi Xue Mei Xue Mei Rong. 2019;28(3):147–8.
83.
Yun FX, Peng YQ, Weng XQ. Effect of table tennis on muscle strength of lower extremities and static balance of the elderly. Hubei Ti Yu Ke Ji. 2017;36(3):233–5.
84.
Hu SM, Yang YY, Li XL, Lin HN. The analysis of risk factors for falls in the elderly with the family doctor contract service model and the evaluation of intervention effect. Lin Chuang He Li Yong Yao. 2018;11(4A):142–4.
85.
Tao YL, Chen HJ, Ly F, Lin ZY, Liao QF, Chen YP. Application of four-party co-nursing intervention to community-dwelling elderly people at high riks of falls. Hu Li Xue Za Zhi. 2019;34(13):88–91.
86.
Meng FY, Chen X, Wang Y, Wu Y. Effect of reality-based functional gait training on gait characteristics and fear of fall in community-dwelling elderly convalescent stroke patients. Hu Li Xue Bao. 2018;25(19):1–4.
87.
Wang DZ. Risk factors and preventive measures of falling in the community elderly. Jian Kang Zhi You. 2019;104.
88.
Tian YQ. Application of community sports interventions in preventing falls in the elderly. Jian Kang Zhi You. 2019:196–7.
89.
Yang XM. Effectiveness of comprehensive nursing interventions to prevent falls in elderly patients with hypertension or diabetes. Jian Kang Bi Du. 2019;5:156.
90.
LanLi R. Analysis on the effect of nursing care in the home environment safety of elderly patients with hypertension and diabetes in community. Tang Niao Bing Xin Shi Jie. 2019:103–4.
91.
Ba HB, Chen L. Balance ability, muscle strength, and neuromuscular response of lower extremities in older adult women during backward exercise. Zhongguo Zu Zhi Gong Cheng Yan Jiu. 2018;22(20):3161–6.
92.
Wu H, Ma YY, Qu FF. The effectiveness of comprehensive nursing interventions in preventing falls in elderly patients with hypertension or diabetes in the community. Zhong Xi Yi Jie He Xue Guan Za Zhi. 2019;7(10):136.
93.
Nu QL. The effect of comprehensive nursing intervention to prevent the falls of older peopel with hypertension or diabetes living in the community. Zhong Xi Yi Jie He Xue Guan Za Zhi. 2018;6(1):103–4.
94.
Yang Z. Effect of progressive core strength training on balance for old adults. Zhongguo Kang Fu Li Lun Yu Shi Jian. 2019;25(7):836–9.
95.
Hu ZJ. A study on the effect of health education on preventing falls in older people in the urban communities. Yi Xue Xing Xi. 2019;32:97–8.
96.
Gui RL, Qi MP, Zhang PJ. Evaluation of the effect of narrative nursing combined with micro-video missionary on the prevention of falls in the elderly in the community. Hu Li Yan Jiu. 2019:164–5.
97.
Qiu YY, Cui M. A study on mechanism of Taijiquan exercises in senile people to prevent fall. Hu Li Yan Jiu. 2008;22(2):490–1.
98.
Wu ML, Zhang XQ, Luo H, Du XL. Influence of different health education models on prevention of fall of the elderly in community. Hu Li Yan Jiu. 2012;26(1B):186–7.
99.
Yang SL, Luo W, Wang HM. Analysis of comprehensive nursing intervention for falls prevention in the elderly living in the community. Zhongguo Lao Nian Xue Za Zhi. 2012;32(23):5281–2.
100.
Cai YB. The effect of nursing intervention for falls prevention among elderly adults in rural community. Yi Xue Xing Xi. 2014;27(5):375.
101.
Yang JY. Community care to prevent falls in the elderly. Yi Xue Xing Xi. 2014;27(10):203.
102.
Guo LY, Guo BF. Study on comprehensive nursing intervention for falls prevention of elderly hypertensive patients in community. Shijie Zhong Yi Yao. 2015;10:1645.
103.
Fan XY. The application of community intervention and health education in preventing the fall of the elderly. Shijie Zui Xin Yi Yao Xue Xing Xi Wen Zhai. 2016;16(60):206–7.
104.
Gao R. The effect of community nursing intervention on reducing falls in the elderly. Yi Xue Xing Xi. 2016;29(14):159–60.
105.
Tang F, Xu JL, Liang HX. Intervention study on prevention of fracture in high-risk population of elderly patients with osteoporosis in a community of Shanghai. Zhongguo She Qu Yi Shi. 2018;34(35):159–61.
106.
Hong D, Xu J, Lin M, Zhang JY, Ye HH. The effects of simplified tai chi exercise on fear of falling among the elderly in communities. Zhonghua Hu Li Za Zhi. 2018;53(10):1224–9.
107.
Liu M, Zhang Q, Hu L, Su QY, Li M, Li Y. The exploration of community-based support for the risk of falling of older people living alone in Kunming, Yunan Province. Xin Li Yue Kan. 2019;14(11):230–1.
108.
Zhao Y. Impact of community aged care programs on cognitive function and falls risk in the elderly. Jian Kang Bi Du. 2019;8:193–4.
109.
Wang K, He YP, Wang Y. Effect of Therapeutic Recreation on Prevention of Community Elders Falling. Zhongguo Kang Fu Li Lun Yu Shi Jian. 2009;15(9):882–3.
110.
Xia QH, Jiang Y, Niu CJ, Tang CX, Xia ZL. Effectiveness of a community-based multifaceted fall-prevention intervention in active and independent older Chinese adults. Injury Prev. 2009;15(4):248–51.
111.
Zhuang J, Huang L, Wu Y, Zhang Y. The effectiveness of a combined exercise intervention on physical fitness factors related to falls in community-dwelling older adults. Clin Interv Aging. 2014;9:131–40.CrossRef
112.
Cao ZJ, Wang SM, Zheng WJ, Guo JN, Qu SX. Evaluation of the Community-based exercise intervention on fall among the elderly. Zhongguo Lao Nian Bao Jian Yi Xue. 2014;12(3):33–7.
113.
Liu XH. Nursing interventions for safe living environment of elderly patients with hypertension and diabetes in community. Jia Ting Yi Yao. 2017:179–80.
114.
Lv B. Effect of community intervention and health education on falls prevention in the elderly. Zhongguo Bao Jian Ying Yang. 2016;10:361.
115.
Gao ML, Song YT. Effect of personalized intervention after falling down on life quality improvement in elderly people. Zhonguo Yi Yao. 2016;11(7):1084–6.
116.
Deng XQ. Effectiveness of comprehensive nursing interventions to prevent falls in elderly patients with hypertension or diabetes. Yi Liao Zhuang Bei. 2017;30(16):180–1.
117.
Wu X, Xue WG, Fang J, Wang JX, Fan XL, Ma HX, et al. Baduanjing of movements on the risk of falls in community elderly people for 60 cases. Zhongguo Zhong Yi Yao Xian Dai Yuan Cheng Jiao Yu. 2017;3(251):106–9.
118.
119.
120.
121.
122.
123.
Pan JH, Wei HK, Li YJ, et al. China Urban Development Report No.5. Beijing: Social Science Academic Press (China), 2012.
124.
125.
126.
Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society. Summary of the updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr Soc. 2011;59(1):148–57.CrossRef
Metadata
Title
Falls prevention interventions for community-dwelling older people living in mainland China: a narrative systematic review
Authors
Pengpeng Ye
Yishu Liu
Jing Zhang
Ke Peng
Xuru Pan
Yang Shen
Shaoming Xiao
Elizabeth Armstrong
Yuliang Er
Leilei Duan
Rebecca Ivers
Lisa Keay
Maoyi Tian
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2020
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-020-05645-0

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