从熟练护理机构出院后,老年人的生活空间
Ayomide Okanlawon Bankole1, Ying Zhang2, Di Hu2
1School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Journal of the American Medical Directors Association
|February 20, 2024
概括
熟练的护理机构患者在出院30天后报告身体功能非常低,通过生命空间评估 (LSA) 测量. 需要重新设计护理,以改善老年人SNF护理后的康复和流动性.
科学领域:
- 老年学和康复医学 老年学和康复医学
- 医疗保健服务研究 医疗服务研究
- 患者报告的结果
背景情况:
- 从熟练护理机构 (SNFs) 出院的老年人经常经历身体功能下降.
- 生活空间评估 (LSA) 衡量了影响流动性的环境和社会因素,这对于放出后的恢复至关重要.
- 了解患者和护理人员对身体功能的看法对于有效的过渡期护理至关重要.
研究的目的:
- 为了描述患者/护理人员对身体功能的看法,使用LSA得分在SNF释放30天后.
- 为了确定与这些LSA得分相关的患者和护理人员因素.
主要方法:
- 来自Connect-Home过渡期护理干预试验的数据的二次分析.
- 在北卡罗来纳州的六个SNF中,245个患者-护理人员对象的利用生命空间评估 (LSA) 得分.
- 多种线性回归模型分析了患者/护理人员变量与LSA得分之间的关联,并根据治疗和COVID-19大流行影响进行调整.
主要成果:
- 患者的平均年龄为76.3岁,62.6%是女性,74.7%是白人.
- 平均复合生活空间得分为22.6,其中76.3%的患者需要帮助,以超出他们家附近的位置.
- 较高的LSA得分与较少的认知障碍和较短的SNF停留相关.
结论:
- 在退院30天后,SNF患者和护理人员报告身体功能和运动能力显著低下.
- 这些发现突出了对护理重新设计的关键需求,以加强老年人身体功能恢复.
- 建议包括优化SNF康复治疗和实施退院后的家庭支持.
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