在急性入院患者中,功能集中护理的有效性:一个阶段性的子集群试验
Selma Kok1, Lisette Schoonhoven2, Lisette M Vernooij3
1Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Heidelberglaan 100, 3508 GA Utrecht, the Netherlands; University of Applied Sciences Utrecht, Heidelberglaan 7, 3584 CS Utrecht, the Netherlands.
International journal of nursing studies
|September 25, 2024
概括
功能集中医院护理显著减少了3.3天的住院时间,并增加了中风和老年患者的家庭出院率. 与通常的护理相比,这种方法保持了功能状态.
科学领域:
- 老年医学 老年医学
- 神经学 神经学
- 护理 护理 护理 护理
背景情况:
- 住院患者经常经历功能衰退,与低体力活动有关.
- 刺激身体活动对于在住院期间保持功能状态至关重要.
- 功能集中护理 (FFC) 是一个有前途的护理方法来增强身体活动.
研究的目的:
- 评估医院功能集中护理 (FFC-IH) 与常规护理的有效性.
- 评估住院中风和老年患者对功能状态的影响.
主要方法:
- 一个多中心,阶梯集群试验,涉及神经病房和老年病房.
- 主要结局:功能状态 (巴瑟尔指数,老年人移动度量表).
- 二次结果:停留时间长,害怕跌倒,自我效能,动机,弹性和结果预期.
主要成果:
- 在FFC-IH和通常护理组之间,功能状态 (巴特尔指数,老年人移动度表) 没有显著差异.
- FFC-IH组显示,平均逗留时间显著减少3.3天.
- 与常规护理 (29.0%) 相比,FFC-IH组中更高比例的患者被送回家 (38.2%).
结论:
- FFC-IH显著减少了住院时间,增加了家庭出院.
- 在释放后,各组的功能独立性和流动性水平是可比的.
- 在FFC-IH治疗中,神经和老年患者的出院时间显著提前.
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