衡量老年人康复的结果 - - 一项可行性研究
Laura J Pitkänen1, Jyri Niskanen1, Antti Malmivaara2
1Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Frontiers in health services
|October 3, 2023
概括
测量老年阿尔茨海默病患者的康复结果是可行的,使用一种综合方法. 这个系统,包括患者报告的结果措施,有助于评估康复的有效性和成本效益.
科学领域:
- 老年学是一门学科.
- 康复科学 康复科学 康复科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 评估康复的成本效益需要可行的患者结果测量系统.
- 早期阿尔茨海默氏病在老年人群中对结果评估提出了独特的挑战.
研究的目的:
- 评估测量早期阿尔茨海默氏症老年人康复结果的可行性.
- 开发和完善一套衡量标准,以评估这一人口群体的康复效率.
主要方法:
- 采用设计科学原则来创建一个指标集,包括患者报告结果测量 (PROM),临床医生报告和功能观察.
- 利用标准化问卷查询有效性和可靠性,对16名接受定期护理的家庭居民进行测试.
- 根据相关性,对变化的敏感性和试点后的适用性,改进了指标集.
主要成果:
- 开发的测量系统被发现可用于评估目标人群的康复结果.
- 建议制定一套最低限度的指标,适用于特定的老年人子组.
- 通过自我报告问卷发现了困难,突出了护理人员参与和改善可访问性的需要.
结论:
- 已经建立了一个可行的系统来衡量早期阿尔茨海默病的老年人康复结果.
- 拟议的最低一组指标为未来的研究和临床应用提供了基础.
- 建议包括整合非正式护理人员,并提高对这一群体的结果调查问卷的可访问性.
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