"起床和穿衣服"与老年康复住院患者的功能和身体结果之间是否存在关系? 一个准实验性的研究
Rose Goonan1, Edward Mohandoss1, Celia Marston1,2
1Allied Health, The Royal Melbourne Hospital, Melbourne, Australia.
Clinical rehabilitation
|August 30, 2023
概括
旨在改善老年康复患者流动性的"结束睡衣"运动,与通常护理相比,没有显著的身体或功能益处. 这项研究评估了干预措施.
科学领域:
- 老年医学 老年医学
- 康复科学 康复科学 康复科学
- 患者研究成果研究结果
背景情况:
- 与住院相关的功能衰退是老年人康复中的一个重要问题.
- "结束睡衣"运动促进了早期动员 ("起床,穿衣服,移动") 来打击这种衰退.
- 评估该活动在住院老年医疗机构的有效性的证据有限.
研究的目的:
- 评估"结束睡衣"干预对身体和功能结果的影响.
- 确定该干预措施是否有助于老年康复患者的康复.
主要方法:
- 在一个前性的纵向队列研究 ("RESORT") 中,准实验性的混合方法设计.
- 干预措施适用于两个老年康复病房;两个控制病房接受了通常的护理.
- 物理测量 (短物理性能电池) 和功能测量 (卡茨指数,劳顿和布罗迪的IADL) 在入院和出院时进行评估.
主要成果:
- 这项研究包括833例入院 (321例干预,512例对照).
- 干预组和对照组之间在身体表现或功能独立方面没有观察到统计学上显著的差异.
- 与标准护理相比",终结睡衣"的干预没有产生更好的结果.
结论:
- "结束睡衣"运动,当它被添加到通常的护理中时,并没有改善老年康复住院患者的身体或功能结果.
- 进一步的研究可能需要在这个人群中探索替代或修改动员策略.
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