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Construction of an evaluation index system for fall management capability in elderly care institutions based on the 4R crisis management theory
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Ru-xue YI1, Yan-ping ZOU2, Na-na WANG3, Zi-wei XU1, Xin-yu CHEN4, Ping ZHANG1
Modern Preventive Medicine | 2026, 53(3) : 507 - 512
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Modern Preventive Medicine | 2026, 53(3): 507-512
• Health and Social Behavior •
Construction of an evaluation index system for fall management capability in elderly care institutions based on the 4R crisis management theory
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Ru-xue YI1, Yan-ping ZOU2, Na-na WANG3, Zi-wei XU1, Xin-yu CHEN4, Ping ZHANG1
Affiliations
  • School of Nursing, Southern Medical University, Guangdong, Guangzhou 510515, China
Published: 2026-02-10 doi: 10.20043/j.cnki.MPM.202506048
Outline
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Objective

To construct an evaluation index system for fall management capability in elderly care institutions and evaluate its applicability, aiming to provide a reference for assessing and improving fall management in such settings.

Methods

Guided by the 4R crisis management theory, a preliminary evaluation index system was constructed through qualitative research, literature research, Delphi expert consultation, and analytic hierarchy process(AHP). Subsequently, a survey was conducted in six elderly care institutions in Guangdong to evaluate the applicability of the index system.

Results

Two rounds of expert consultations were conducted, with questionnaire response rates of 83.3% and 92.0%, and the expert authority coefficients were 0.892 and 0.896. Kendall W values ranged from 0.175 to 0.237 in the first round, and from 0.217 to 0.339 in the second round (P<0.001). The final index system consisted of four first-level indicators, including reduction, readiness,response, and recovery management capabilities, as well as 13 second-level indicators and 41 third-level indicators. Fourteen managers from the six institutions participated in the study and considered the system comprehensive and practical.

Conclusion

The constructed evaluation index system for fall management capability in elderly care institutions is comprehensive, scientific and practical, providing a valuable reference for relevant health authorities and elderly care institution managers to periodically assess fall management capability.

Elderly care institutions  /  Fall management  /  4R crisis management theory  /  Delphi method  /  Index system
易茹雪, 邹艳平, 王娜娜, 徐子为, 陈心钰, 张萍. 基于4R危机管理理论的养老机构跌倒管理能力评价指标体系的构建研究. 现代预防医学, 2026 , 53 (3) : 507 -512 . DOI: 10.20043/j.cnki.MPM.202506048
Ru-xue YI, Yan-ping ZOU, Na-na WANG, Zi-wei XU, Xin-yu CHEN, Ping ZHANG. Construction of an evaluation index system for fall management capability in elderly care institutions based on the 4R crisis management theory[J]. Modern Preventive Medicine, 2026 , 53 (3) : 507 -512 . DOI: 10.20043/j.cnki.MPM.202506048
Year 2026 volume 53 Issue 3
18
9
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Article Info
doi: 10.20043/j.cnki.MPM.202506048
  • Receive Date:2025-06-04
  • Online Date:2026-11-02
  • Published:2026-02-10
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  • Received:2025-06-04
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    School of Nursing, Southern Medical University, Guangdong, Guangzhou 510515, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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