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目的:分析近10年我国住院患者跌倒研究的发展趋势。方法:检索中国生物医学文献数据库(CBM)、中国知网(CNKI)和万方数据库,对2004-2015年国内有关跌倒的文献进行统计分析。结果:共检出827篇文献,分别发表在251种期刊上,文献数量近5年呈迅速上升趋势;第一作者来自28个省份,研究单位以临床医疗机构为主;17.7%为随机对照试验;研究人群主要集中在老年人群;论文研究热点主要集中在跌倒临床原因分析及预防管理措施、评估量表的使用及研制,多种质量管理工具预防跌倒的发生等方面,目前尚缺乏规范统一的跌倒管理指南;论文中引文以中文文献为主,外文仅占8.5%;研究受科研基金资助者仅占5.9%。结论:住院患者跌倒已引起临床医护人员广泛的关注,需要加强多中心、高质量的随机对照试验研究,探索更为有效的、切实可行的跌倒预防管理措施,更好地为临床提供循证证据。
OBJECTIVE: To analyze the development trend of inpatient falls in recent 10 years. Methods: The Chinese biomedical literature database (CBM), China National Knowledge Infrastructure (CNKI) and Wanfang database were searched to analyze the domestic literature about falls from 2004 to 2015. Results: A total of 827 papers were published and published in 251 journals, respectively. The number of literatures showed a rapid upward trend in the recent 5 years. The first authors came from 28 provinces. The research units were mainly clinical medical institutions. 17.7% were randomized controlled trials ; The research population is mainly concentrated in the elderly population; the research focus of the dissertation is mainly on the analysis of clinical causes of falls and prevention management measures, the use and development of assessment scales, the prevention of falls by various quality management tools, etc., Fall management guidelines; citation in the paper mainly Chinese literature, foreign language only accounted for 8.5%; research funded by research fund only 5.9%. CONCLUSIONS: Inpatient falls have caused widespread concern among clinicians. There is a need to strengthen multi-center and high-quality randomized controlled trials to explore more effective and practical fall prevention management measures and to provide evidence-based evidence for clinical practice .