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在接受部手术的老年人中,功能能力的相关因素立即出院后:一项前性研究

Kanokwan Monkuntod¹, Suparb Aree-Ue¹, Inthira Roopsawang¹

¹Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.

Journal of clinical medicine

|October 14, 2023

概括

患有关节骨折的老年人在手术后恢复功能方面面临挑战. 老年,特定的骨折类型和手术类型显著预测部手术后功能能力差.

科学领域:

老年医学老年医学
整形外科手术整形外科手术
康复科学康复科学康复科学

背景情况:

骨折显著影响老年人的健康和功能恢复.
手术的目的是恢复功能,但术后并发症可能会阻碍康复.
了解影响部手术后功能能力的因素对于改善患者的治疗结果至关重要.

研究的目的:

调查个人因素和不良健康结果与老年人部手术后功能能力之间的关联.
在出院后两周确定功能能力受损的预测因素.

主要方法:

研究了一组120名患有关节骨折的老年人接受手术.
收集的数据包括人口统计,功能状态,认知评估 (混评估方法 - CAM) 和健康结果.
描述性统计和多重物流回归被用于分析.

主要成果:

最常见的住院并发症是尿路感染和妄想.
出院后,参与者经历了 Delirium,尿路感染和手术部位感染等事件.
两周后功能能力低下的预测因素包括晚年 (OR=1.114),亚胸口骨折 (OR=13.48) 和外科手术 (OR=4.105).

结论:

高龄,下骨折和特定的手术类型是部手术后功能能力低下的重要风险因素.
住院和出院后的不良健康结果可能会对功能恢复产生负面影响.
针对这些预测因素的有针对性的干预措施可以改善关节骨折手术后老年人的功能结果.

关键词:

有不利的健康结果.功能能力功能能力功能能力部骨折手术部骨折手术老年人年长的人.

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