目的 系统评价老年人跌倒警觉度的影响因素，为医护人员提高老年人自我跌倒防范意识提供借鉴。方法 检索中国知网、维普、万方、Web of Science、PubMed、Embase等数据库中关于老年人跌倒警觉度相关因素的横断面研究、队列研究，检索时间为建库至2024年12月1日，使用RevMan 5.3与STATA 17.0软件进行数据分析。结果 最终纳入13篇文献，共4749例研究对象。受教育程度、近1年跌倒史、运动状况、有无跌倒恐惧、有无跌倒风险、营养状态是老年人跌倒警觉度的主要影响因素（均P＜0.05）。结论 老年人跌倒警觉度受身体客观状况与个人风险意识的影响，医护人员应通过针对性措施提高老年人跌倒警觉意识，从而规避跌倒意外的发生。

Objective To systematically review the factors influencing fall alertness among older adults and provide reference for healthcare professionals to enhance the people’s self-awareness of fall prevention.Methods Cross-sectional and cohort studies on factors related to fall alertness in older adults were retrieved from databases including CNKI,VIP,WanFang,Web of Science,PubMed,and Embase from inception to December 1,2024.Data analysis was conducted using RevMan 5.3 and STATA 17.0 software.Results A total of 13 studies involving 4,749 participants were included.Educational level,history of falls in the past year,physical activity status,presence of fear of falling,presence of fall risk,and nutritional status were identified as main influencing factors for fall alertness in older adults.Conclusions Fall alertness in older adults is influenced by both physical condition and personal risk awareness.Healthcare professionals should implement targeted measures to enhance the population’s fall alertness,thereby preventing fall incidents.

R47；R473.59