关键词: 跨理论模型；预防跌倒引起的老年人意外、死亡、伤害工具包；跌倒防范策略

Abstract: Objective: To construct the integrated STEADI fall prevention strategies based on the Transtheoretical Model and STEADI toolkit and validate its effects on the elderly. Methods: The integrated STEADI fall prevention strategies were constructed according to literature review results and expert discussion. From October to November 2019, the elderly admitted to the Gerontology Department in a tertiary hospital with fall risk screened by the Morse Fall Scale (Chinese version) were divided into two groups using the random sampling method. The experimental group (n=93) were given the integrated STEADI fall prevention strategies, and the control group (n=95) conventional fall prevention interventions. Then the implementation rate of fall prevention, the incidence of falls and fall injuries between the two groups within 24 weeks after their discharge were compared. Results: The implementation rate of fall prevention measures for the elderly in the experimental group was higher than that of the control group 4 weeks (except for vision and foot management), 12 weeks (except for foot management) and 24 weeks (except for foot management) after discharge (P<0.05). Both the incidence of falls (9.7%) and fall injuries (22.2%) in the experimental group were lower than those of the control group (20.0%, 68.4%) (P<0.05). Conclusion: The integrated STEADI fall prevention strategies are conducive to improve the execution rate of fall prevention and reduce the incidence of falls and fall injury in the elderly after their discharge.

Key words: the Transtheoretical Model; STEADI; fall prevention strategy