在社区生活的老年人中,重大手术后痛苦症状和残疾变化之间的关系
Thomas M Gill1, Ling Han1, Shelli L Feder2,3
1Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
痛苦的症状显著加剧了重大手术后的残疾. 管理这些症状可以改善接受选择性或非选择性手术的老年人的功能恢复.
科学领域:
- 老年医学 老年医学
- 手术结果研究研究.
- 症状管理 症状管理
背景情况:
- 大型手术对老年人来说带来了重大健康风险,影响了痛苦的症状和功能能力.
- 了解症状和残疾之间的相互作用对于优化这一群体的术后康复至关重要.
研究的目的:
- 为了研究痛苦症状和重大手术后残疾变化之间的关系.
- 为了确定这种关系是否受到手术时间 (非选择性与选择性),性别,多病症或社会经济劣势的改变.
主要方法:
- 对754名70岁以上的社区居民进行了队列研究.
- 在手术后的6个月内,每月收集13项活动中15种痛苦症状和残疾的数据,用于392次手术入院.
主要成果:
- 每一个额外的痛苦症状与残疾增加6.4%相关.
- 非选择性手术显示残疾增加了4.0%,而选择性手术显示每症状增加了8.3%.
- 多重令人痛苦的症状 (≥2) 在所有类型的手术中显著增加了残疾,特别是选择性手术.
结论:
- 痛苦的症状独立地与大手术后残疾增加有关.
- 针对令人痛苦的症状是一个可行的策略,可以提高术后老年人的功能结果.
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