招生认知和功能预测技能护理康复后的身体功能变化
Katie A Butera1, Allison M Gustavson2, Jeri E Forster3
1Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO, USA; Department of Physical Therapy, University of Delaware, Newark, DE, USA.
Journal of the American Medical Directors Association
|October 20, 2023
概括
老年人认知分数和日常活动中的独立性预测熟练护理设施 (SNFs) 的身体功能恢复. 然而,更高的入院身体功能预测改善较少,表明复杂的康复需求.
科学领域:
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
- 物理疗法物理治疗
背景情况:
- 许多老年人在熟练护理设施 (SNF) 中经历了功能恢复不足,这影响了他们安全返回家园的能力.
- 有限的证据可以解释导致这种住院后不充分恢复的因素.
- 了解身体功能变化的预测因素对于优化康复结果至关重要.
研究的目的:
- 确定SNF中接受康复的老年人身体功能变化的预测因素.
- 分析吸收特征与功能恢复 (SPPB分数和步行速度) 之间的关系.
主要方法:
- 一项前性观察队列研究的二次分析,涉及4个SNF的698名成年人.
- 使用短物理性能电池 (SPPB) 评分和从入院到出院的步行速度来评估身体功能.
- 标准化模型选择估计器被用来确定物理功能变化的预测因素.
主要成果:
- 更高的入院认知分数和日常生活活动 (ADL) 独立性预测SPPB分数的更大改善.
- 较高的入学SPPB分数预测SPPB分数变化较小,表明改善空间较少.
- 入学ADL独立性预测了更大的步行速度改善,而更快的入学步行速度预测了更小的步行速度变化.
结论:
- 认知,ADL独立性和基线身体功能是SNF康复后功能恢复的关键预测因素.
- 入院身体功能/ADL独立性和恢复之间的反向关系表明,最初的独立性并不总是与移动性增长相关.
- 在SNF期间进行全面评估和量身定制的干预措施对于最大限度地提高老年人的功能恢复至关重要.
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