为骨骨折患者提供综合老年护理:一个前性,随机化,受控试验
Anders Prestmo1, Gunhild Hagen2, Olav Sletvold1
1Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway; Department of Geriatrics, St Olav Hospital, University Hospital of Trondheim, Trondheim, Norway.
Lancet (London, England)
|February 10, 2015
概括
对于70岁以上的关节骨折患者的综合老年护理,与标准骨科护理相比,在四个月内改善了运动能力. 这表明,骨架骨折治疗对患有部骨折的老年人有好处.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
背景情况:
- 骨折不成比例地影响老年人 (>70岁),导致虚弱,功能衰退,不良结果和医疗保健成本增加.
- 传统的骨科护理可能无法充分解决老年关节骨折患者的复杂需求.
研究的目的:
- 为了比较综合老年护理的有效性和成本效益,与70岁及以上的部骨折患者的标准骨科护理相比.
- 评估整合性正经老年护理对患者流动性的影响.
主要方法:
- 一个前性的,单中心的,随机对照试验,涉及397名患者 (198名综合老年护理,199名骨科护理).
- 在骨折之前能够走10米的70岁以上的患者被随机分组.
- 主要结局:手术后4个月以短物理性能电池 (SPPB) 测量运动能力.
主要成果:
- 4个月后的SPPB平均得分在综合老年护理组 (5.12) 与骨科护理组 (4.38) 相比显著更高.
- 在SPPB得分中,两组之间的差异为0.74 (95%CI为0.18-1.30,p=0.010).
- 退学率相似,死亡是退学的主要原因.
结论:
- 立即进入专门的老年病房接受综合老年护理,在4个月后显著改善了老年关节骨折患者的运动能力.
- 这些发现支持将老年关节骨折患者的护理组织为正经老年护理.
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