物理治疗师对住院老年患者的评估实践:目前的差距是什么?
Elisângela Cristina Ramos Hernandes1, Geovanna Maria de Moura1, Adriana Lunardi1
1Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil.
概括
物理治疗师将以人为中心的护理 (PCC) 和综合老年评估 (CGA) 纳入医院,与他们的经验和时间有关. 障碍包括患者的健康,时间和资源,需要教育和组织干预.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 物理疗法物理治疗
背景情况:
- 以人为中心的护理 (PCC) 和综合老年学评估 (CGA) 改善了住院患者的治疗结果.
- 了解物理治疗师 (PT) 整合PCC和CGA对于优化老年护理至关重要.
- 医院中老年患者有效评估的障碍需要识别.
研究的目的:
- 为了确定PCC和CGA被医院PTs结合的频率.
- 检查PCC/CGA合并与PT特征 (性别,经验,会话持续时间) 之间的关联.
- 确定PT在评估老年住院患者时遇到的障碍.
主要方法:
- 对医院物理治疗师进行了横截面调查.
- 调查问卷评估了PT特征,障碍和PCC/CGA实践的频率,使用利克尔特比例表.
- 使用顺序回归分析来分析数据.
主要成果:
- 与女性和更有经验的PTs相比,男性PTs和经验较少的PTs表现出PCC/CGA原则的纳入程度较低.
- 较短的物理治疗会话持续时间 (<10分钟) 与显著更少的综合性评估有关,包括反,家庭参与,目标设定和出院计划.
- 确定的主要障碍是患者的健康状况,时间有限和资源不足.
结论:
- 通过PTs将PCC和CGA纳入PTs的特征和时间可用性受到影响.
- 有针对性的教育和组织干预是必要的,以促进PCC和CGA在医院环境中的一致应用.
- 解决已识别的障碍对于提高老年患者护理质量至关重要.
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