住院治疗对患者的影响 能够执行日常生活的基本活动
Myles W O'Brien1,2, Kayla Mallery1, Kenneth Rockwood1
1Division of Geriatric Medicine (Faculty of Medicine), Dalhousie University, Halifax, Nova Scotia.
Canadian geriatrics journal : CGJ
|December 4, 2023
概括
在老年人中,住院治疗通常会导致日常生活的基本活动 (ADL) 的困难. 许多患者无法恢复入院前的功能,特别是那些年长或脆弱的患者.
科学领域:
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
- 老年医学 老年医学
背景情况:
- 功能独立对于日常生活至关重要,并经常受到住院治疗的影响.
- 住院后功能衰退和恢复的轨迹仍然不完全理解.
- 日常生活的基本活动 (ADL) 是功能状态的关键指标.
研究的目的:
- 检查从入院前到住院后随访的基本ADL的变化.
- 确定预测住院后ADL表现变化的因素.
- 了解老年住院患者的短期功能轨迹.
主要方法:
- 一项涉及83名老年患者的前性队列研究的二次分析.
- 评估ADL表现 (穿衣服,走路,洗,吃饭,转移,上所) 和脆弱 (临床脆弱度量表).
- 在入院前,入院后和随访时 (出院或入院后2周) 的ADL分数的比较.
主要成果:
- 与入院前相比,显著的比例的患者在住院后报告了多重ADL的增加困难.
- 59%的患者经历至少一个ADL的困难,25%的患者经历了三次或更多次ADL.
- 高龄和较高的虚弱程度与更糟糕的ADL得分有关,随访时吃饭,转移和上所.
结论:
- 住院治疗经常导致老年人基本ADL的短期功能障碍.
- 老年人和脆弱的个体不太可能恢复到他们入院前的功能水平.
- 需要进行干预措施,以改善患者住院后的功能恢复.
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