在农村环境下住院的老年人中的脆弱性和流动性对停留时间和出院处置的影响
Journal of gerontological nursing
|April 24, 2025
概括
在患有心力衰竭或COPD的脆弱老年人中,每日动员显著减少了住院时间 (LOS). 早期识别脆弱性和移动性计划可以改善患者的治疗结果.
科学领域:
- 老年学是一门学科.
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
背景情况:
- 老年人越来越担心虚弱,特别是那些患有慢性病如心力衰竭 (HF) 和慢性阻塞性肺病 (COPD) 的老年人.
- 评估脆弱性及其对住院结果的影响对于老年护理至关重要.
研究的目的:
- 为了确定65岁及以上患有HF和/或COPD的患者的虚弱的患病率.
- 为了比较每天动员的患者和在住院期间没有动员的患者的住院时间 (LOS) 和出院倾向.
主要方法:
- 在35名参与者中使用FRAIL尺度进行虚弱查.
- 进行了回顾性图表审查,以收集关于LOS,排放处置和日常动员的数据.
主要成果:
- 超过一半的参与者 (54.3%) 被认定为脆弱,其中42.9%被归类为脆弱前.
- 每天动员的患者的平均LOS (2.33天) 与没有动员的患者 (4.71天,p=0.028) 相比显著更短.
- 在调动患者中,较低的比例 (16.7%) 在出院时需要更高的护理水平,而非调动患者 (42.9%,p=0.067).
结论:
- 早期识别脆弱性对于实施有针对性的干预措施至关重要.
- 在住院期间的流动性计划可以减少LOS,并支持HF或COPD的脆弱老年人的功能基线.
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