多元疾病老兵的多元元件远程康复计划:一个程序评估.
Michelle R Rauzi1, L M Abbate2,3, H D Lum4
1Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA michelle.rauzi@cuanschutz.edu.
BMJ military health
|September 14, 2023
概括
这项针对多种健康状况的老年退伍军人的远程康复计划是安全和可行的. 它改善了身体功能,解决了这个弱势群体未得到满足的需求.
科学领域:
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有多重疾病的老年退伍军人面临着影响健康和医疗保健获取的身体,精神和社会挑战.
- 传统的身体康复可能无法充分解决身体功能,行为改变技能或孤独问题.
- 一个多元件的远程康复计划为这些未满足的需求提供了潜在的解决方案.
研究的目的:
- 评估多组件远程康复计划的安全性和可行性,用于具有多病症的老年退伍军人.
- 评估患者结果的变化,特别是身体功能,遵循该计划.
主要方法:
- 物理治疗师提供了为期12周的多组件远程康复计划,包括高强度康复,指导,社会支持和技术.
- 参与者 (退伍军人/配偶,≥50岁,≥3种并发症) 在基线,4周,8周和12周被评估.
- 安全性 (事件),可行性 (坚持) 和身体功能结果被测量和分析,使用描述性统计和配对的t测试.
主要成果:
- 报名的参与者有21人,其中大多数是男性 (81%),白人 (72%) 和非西班牙裔 (76%),平均5.7个并发症.
- 该计划显示,会议安全事件的流行率低 (3.2%),遵守率高 (71.4%参加了80%以上的会议).
- 观察到身体功能的显著改善,包括30秒的坐站重复 (4.7),手臂曲重复 (6.0和5.0),以及2分钟的步骤测试重复 (31.8).
结论:
- 多组件远程康复计划对于具有多病症的老年退伍军人来说是安全的和可行的.
- 该计划导致身体功能显著改善,这表明该计划有效地满足了这一群体的需求.
- 这些发现支持通过随机临床试验进一步调查,并为程序改进提供了洞察力.
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