北克老年人的护理从急性后服务过渡:试点影响评估
Shashank Ghai1,2, Kathleen Chassé3, Marie-Jeanne Renaud3
1Department of Political, Historical, Religious and Cultural Studies, Karlstad University, Karlstad, Sweden. shashank.ghai@kau.se.
BMC health services research
|April 3, 2024
概括
后急性家庭物理治疗计划 (PAHP) 改善了虚弱的老年人的功能独立性和患者感知. 尽管实施忠诚度低,但该计划显示了积极的结果,指导了未来的改进,以改善家居过渡.
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:
- 脆弱的老年人从急性后护理中提前出院可能会导致功能能力和痛苦降低.
- 一个试点的后急性家庭物理治疗计划 (PAHP) 被实施,以帮助老年人从医院到家的过渡.
- 该研究评估了PAHP的实施忠实性,对功能和健康结果的影响,不良事件和患者需求.
研究的目的:
- 评估后急性家庭物理治疗计划 (PAHP) 的实施忠实度.
- 评估PAHP对老年人的功能独立性,身体和精神健康以及生活质量的影响.
- 识别潜在的不良事件和退院后老年人的医疗保健需求.
主要方法:
- 使用了带有重复措施的准实验性不受控制的设计.
- 通过推到接收的延迟,干预频率和程序持续时间来评估实施忠实度.
- 测量了功能性结果 (FIM,PROMIS Global-10),跌倒发生率,急诊,住院,PGICS和CANE.
主要成果:
- 24名老年人 (60.8-94岁) 参与了这项研究.
- 在程序延迟,强度和持续时间方面,实施忠实度较低.
- 在功能独立度量 (FIM) 评分和患者总体变化印象 (PGICS) 中观察到显著改善.
结论:
- 尽管实施忠实度低,但PAHP计划显示功能独立性和患者报告结果有所改善.
- 调查结果将为利益相关者驱动的行动计划提供信息,以加强该计划.
- 计划进行一项更大规模的研究,以进一步评估该计划的整体影响.
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