在关节骨折手术后,为老年人提供基于家庭的护理过渡计划的好处
Sahar Mashhadi-Naser1, Fatemeh Pashaei Sabet2, Malihe Nasiri3
1Student Research Committee, Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Aging clinical and experimental research
|July 13, 2024
概括
一个以家庭为基础的护理过渡计划显著改善了关节骨折手术后老年人的日常生活活动和与健康有关的生活质量. 该计划并没有显著增强社会支持.
科学领域:
- 老年医学 老年医学
- 康复科学 康复科学 康复科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年人骨折 (HF) 会导致日常生活活动 (ADL) 和与健康相关的生活质量 (HRQoL) 的显著下降.
- 有效的干预措施对于缓解手术后衰退和改善患者结果至关重要.
- 护理过渡计划旨在弥合医院和家庭护理之间的差距.
研究的目的:
- 评估基于家庭的护理过渡计划 (FBCTP) 对ADL,HRQoL和老年人部骨折手术后社会支持的影响.
- 确定FBCTP在改善功能状态和福祉方面的有效性.
- 评估计划对感知到的社会支持的影响.
主要方法:
- 准实验性设计,100名老年人接受关节骨折手术 (HFS).
- 干预组 (IG) 接受了FBCTP,包括住院教育,家庭访问和电话咨询;对照组 (CG) 没有.
- 在基线,4周和出院8周后采集的数据使用巴特尔指数,SF-12和感知社会支持的多维尺度.
主要成果:
- 与CG相比,FBCTP在IG中显著增加了ADL (p < 0.000) 和HRQoL (p < 0.000) 在IG中.
- 对于HRQoL,观察到一个显著的时间组相互作用,表明随着时间的推移持续改善.
- 虽然社会支持随着时间的推移而有所改善 (p < 0.000),但FBCTP没有产生统计学上显著的群体效应或时间对群体的相互作用.
结论:
- 在关节骨折手术后,FBCTP有效提高老年人的ADL和HRQoL.
- 该计划对社会支持的影响需要进一步调查或修改.
- 医疗保健专业人员,政策制定者和规划者可以利用这些发现来优化HFS后的老年护理.
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