在严重病的老年人中,重大选择性手术后疼痛,抑郁,功能和非正式照顾的长期变化
Wong Si Min Jolene1,2, Yihan Wang3, Evan Bollens-Lund3
1Center for Surgery and Public Health, Department of Surgery, Brigham and Woman's Hospital, Boston, MA.
Annals of surgery
|December 25, 2024
概括
患有严重疾病的老年人经历了更大的疼痛,抑郁,并在重大手术后需要帮助. 息护理干预对于改善这一群体的外科治疗结果至关重要.
科学领域:
- 老年医学 老年医学
- 手术瘤学手术瘤学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 美国外科医生协会建议将息治疗 (PC) 整合到严重疾病的手术护理中.
- 疼痛,抑郁,功能和非正式照顾等关键领域需要在患有严重疾病的手术患者中进一步研究.
研究的目的:
- 为了比较重大选择性手术前后的结果 (疼痛,抑郁,功能,非正式的照顾) 在有和没有严重疾病的老年人中.
- 为了确定严重的疾病是否独立地预测了手术后更糟糕的结果.
主要方法:
- 使用健康和退休研究相关的医疗保险数据 (2008-2018) 对于66岁以上接受重大选择性手术的成年人.
- 使用差异差异分析来评估结果的变化.
- 使用多变量回归来测试严重疾病和结果变化之间的关联.
主要成果:
- 在1896年的大型手术患者中,60%患有严重疾病,表现出更高的基线疼痛,抑郁症和需要日常生活活动 (ADL) 的帮助.
- 患有严重疾病的患者在手术后的ADL辅助中显示出更大的增加.
- 严重疾病独立预测疼痛增加,抑郁症,ADL协助,以及手术后的非正式照顾者.
结论:
- 大多数接受选择性手术的老年人患有严重疾病.
- 疼痛,抑郁,功能状态和护理需求是缓解护理干预措施的关键目标,以加强术后恢复.
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