“人—时—空”整合视角下老年人跌倒预防与管理研究进展

Research Progress in Fall Prevention and Management in Older Adults from an Integrated Person-Time-Space Perspective

  • 摘要: 跌倒是老年人常见且后果严重的不良事件。现有风险评估多基于静态指标和单次测量,难以充分解释跌倒风险随特定时间、空间及个体条件的变化而呈现动态波动,从而制约了社区场景中精准预警与主动干预的实现。本文从“人—时—空”整合视角出发,系统梳理其理论基础,重点总结“人—时”“人—空”及“时—空”二维耦合的研究证据,并概述动态评估、情境化干预与协同实施的相关进展,有助于推动老年人跌倒研究由单维因素分析与静态风险识别转向对跌倒风险动态变化过程的系统性认识,并为社区场景下跌倒防控策略优化与管理模式转型提供理论支持。

     

    Abstract: Falls are common and serious adverse events among older adults. Existing fallrisk assessments often rely on static indicators and single time-point measurements, which may not adequately account for the dynamic fluctuations in fall risk across specific temporal, spatial, and individual conditions. This limitation may constrain precise early warning and proactive intervention in community settings. From an integrated person-time-space perspective, this article reviews the theoretical basis of this framework, synthesizes evidence on the interactions between person and time, person and space, and time and space, and summarizes recent progress in dynamic assessment, contextualized intervention, and coordinated implementation. This review may help shift fall prevention research for older adults from unidimensional factor analysis and static risk identification toward a more systematic understanding of dynamic fall-risk processes, and may provide theoretical support for optimizing community-based fall prevention strategies and management models.

     

/

返回文章
返回