住院老年患者的功能健康模式与虚弱之间的关联
Elisabeta Ioana Hiriscau1,2, Omar Cauli3, Valer Donca4,5
1Nursing Department, Iuliu Hatieganu University of Medicine and Pharmacy, 400083 Cluj-Napoca, Romania.
Geriatrics (Basel, Switzerland)
|April 26, 2024
概括
这项研究发现,尿路和行走困难在住院老年人中显著增加了虚弱的风险. 功能健康模式评估查工具 (FHPAST) 有助于识别这些高风险的老年患者.
科学领域:
- 老年医学 老年医学
- 护理科学 护理科学
- 公共卫生 公共卫生
背景情况:
- 在住院的老年人群中,虚弱是一个重大的问题.
- 功能健康模式评估查工具 (FHPAST) 用于评估患者的健康模式.
- 了解FHPAST组件与脆弱性之间的关系对于有针对性的干预至关重要.
研究的目的:
- 调查住院老年患者的FHPAST和虚弱之间的关联.
- 为了确定预测脆弱性的特定FHPAST组件.
- 提供有关医院环境中脆弱老年患者普遍需求的证据.
主要方法:
- 140名住院老年患者 (平均年龄为78.2岁) 的队列使用脆弱量表来评估脆弱性.
- 在前脆弱和脆弱群体之间对FHPAST组件 (健康风险,福祉,健康促进) 的比较分析.
- 后勤回归分析以确定脆弱性的预测因素.
主要成果:
- 59.3%的患者被确定为脆弱的,而40.7%的患者是脆弱前的.
- 虚弱与排尿困难 (OR=4.38) 和行走限制 (OR=65.7) 密切相关.
- 其他关联包括日常生活活动的限制,身体不适以及感知控制能力较低.
结论:
- 排尿困难和行走困难是住院老年人虚弱的重要预测因素.
- FHPAST可以帮助识别患有脆弱性风险较高的老年患者.
- 调查结果突出了护理干预措施的关键领域,以满足脆弱老年患者的需求.
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