在熟练护理机构逗留期间实现功能目标:对Medicare受益人的全国研究
Brian Downer1, Megan Wickliff, Ioannis Malagaris
1From the Department of Population Health and Health Disparities, School of Public and Population Health, University of Texas Medical Branch, Galveston, Texas (BD, MW); Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas (BD); Office of Biostatistics, University of Texas Medical Branch, Galveston, Texas (IM); Department of Occupational Therapy, School of Health Professions, University of Texas Medical Branch, Galveston, Texas (C-YL); and Department of Nutrition, Metabolism, and Rehabilitation Sciences, School of Health Professions, University of Texas Medical Branch at Galveston, Texas (MJL).
在熟练护理机构中,功能目标经常被记录下来,但只有不到一半的住户能够达到或超过这些目标. 高龄和认知障碍与目标实现率较低有关.
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:
- 以患者为中心的护理强调了解和记录住户的功能目标.
- 熟练的护理设施 (SNFs) 在医院后康复中发挥着至关重要的作用.
- 最小数据集 (MDS) 是一个标准化评估工具,用于SNFs.
研究的目的:
- 确定MDS上的功能目标文档的频率.
- 识别与实现或超过放电目标相关的居民特征.
主要方法:
- 对被纳入国家医疗基金的医疗保险服务费受益人的分析 (N=1,228,913).
- 利用入院MDS数据来评估自我护理和移动项目的出院目标得分.
- 排放目标,入院和排放绩效的计算总得分 (n=371,801).
主要成果:
- 超过70%的居民记录了大多数自我护理项目的功能目标 (1-6分).
- 椅子/床到椅子转移目标是最常见的 (77.1%),而步行目标是最不常见的 (23.2%).
- 大约44%的住户达到或超过了他们的出院绩效目标;年龄较大,失禁和认知障碍与较低的成绩相关.
结论:
- 记录功能目标对于评估SNF的有意义的居民改善至关重要.
- 识别阻碍目标实现的因素可以为有针对性的干预提供信息.
- 进一步的研究可以优化目标设定和对不同居民群体的支持.
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Planning Nursing Care II
Planning Nursing Care I
Restorative Care
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Fundamentals of Nursing Process II


