德国目前使用哪些综合老年评估 (CGA) 仪器:一项调查
Jennifer Kudelka1, Malte Ollenschläger2,3, Richard Dodel4
1Department of Neurology, University Hospital Schleswig-Holstein, Arnold-Heller-Straße 3, Kiel, 24105, Germany.
BMC geriatrics
|April 16, 2024
概括
这项研究调查了德国老年医生关于评估工具的使用情况. 虽然常见的综合征得到了良好的评估,但为了更好的老年护理,需要针对痴呆症,虚弱和社会地位的标准化工具.
科学领域:
- 老年学是一门学科.
- 临床老年病学 临床老年病学
- 医疗保健的质量 医疗保健的质量
背景情况:
- 综合老年评估 (CGA) 标准化了老年综合征评估,以进行量身定制的治疗.
- 在老年患者中,CGA改善了功能结果和生存率.
- 德国S1指南建议对CGA进行评估工具,但其常规使用尚未研究.
研究的目的:
- 调查目前在德国老年临床常规实践中使用评估仪器的情况.
- 评估仪表使用与S1指南对2级CGA的一致性.
- 确定需要在老年护理中使用标准化评估工具的领域.
主要方法:
- 一项在线调查分发给了德国569名持牌老年医生.
- 该调查涵盖了11种老年综合征的评估工具.
- 122名临床医生做出了回应,分析了76个数据集.
主要成果:
- 所有参与者都使用了运动功能,自助,认知,抑郁和疼痛的评估工具.
- 经常使用的工具包括TUG,BI,MMSE,GDS和VAS.
- 对妄,虚弱和社会地位的评估是有限的或异质的.
结论:
- 对几种关键老年综合征的评估与S1指南建议一致.
- 建议使用SPPB,MoCA和WHO-5等仪器进行更广泛的使用.
- 对妄,虚弱和社会地位的标准化评估对于有效的老年护理和预防至关重要.
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