身体功能与老年人再入院的关联:系统性审查
Erin M Thomas1, James Smith2, Alisa Curry3
1School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, Ohio, USA.
Journal of hospital medicine
|November 4, 2024
概括
身体功能障碍是老年人再入院的强有力的预测因素. 在住院期间评估身体功能可以改善风险分层和护理过渡.
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:
- 医院再接收对医疗保健系统构成重大挑战,特别是对老年人来说.
- 虽然医疗管理是重点,但身体功能在护理过渡中的作用越来越被认可,但尚未完全理解.
- 对于功能性措施与再接收风险之间的联系,人们的理解有限.
研究的目的:
- 系统地审查和评估身体功能障碍与医院再入院之间的关联.
- 评估功能性测量如何预测老年人再接收风险.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 搜索了数据库 (PubMed,CINAHL,Embase) 的观察性研究 (2010-2022) 美国50岁以上的成年人与90天再接收数据和身体功能评估.
- 利用国际功能分类模型用于功能领域和苏格兰大学间指南网络 (SIGN) 工具进行偏差风险评估.
主要成果:
- 包括17项研究,涉及80,008名参与者,涉及多种医学群体.
- 身体功能障碍始终与在90天内再入院的风险较高相关.
- 参与障碍,包括生活空间的流动性,也显示出与再接收风险增加的显著关联.
结论:
- 功能障碍是老年人再入院的强有力的预测因素.
- 在住院期间进行常规的身体功能评估可以增强风险分层.
- 这种评估可能会促进老年患者更成功的护理过渡.
更多相关视频
07:22Glycemic Impact on Knee Osteoarthritis Symptoms on Physical, Radiographic, and Inflammatory Markers among Individuals Aged 50 and Over with Diabetes
Published on: March 7, 2025
200
07:21Walk with Me Hybrid Virtual/In-Person Walking for Older Adults with Neurodegenerative Disease
Published on: June 16, 2023
858
相关概念视频
01:29Documentation in Long-Term and Home Healthcare Setting
873
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
873
01:19Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K