在紧急腹腔切除术后的虚弱状态和排出目的地的变化
Hwei Jene Ng1,2, Nicholas J W Rattray3, Tara Quasim4,5
1Department of General Surgery, Royal Alexandra Hospital, NHS Greater Glasgow and Clyde, Corsebar Road, Paisley, PA2 9PN, UK. hweijene.ng@nhs.scot.
紧急手术显著增加了脆弱性,影响了老年人的出院目的地. 术后脆弱性评估对于紧急腹腔切除术 (EmLap) 后有效的护理规划至关重要.
科学领域:
- 老年学是一门学科.
- 外科手术的结果
- 公共卫生 公共卫生
背景情况:
- 手术前的虚弱会对紧急腹腔切除术 (EmLap) 后的结果产生负面影响,特别是在65岁及以上的成年人中.
- 对于EmLap后的脆弱性变化及其对患者情绪的影响的了解有限.
研究的目的:
- 调查EmLap患者从术前到90天术后评估的虚弱状态的变化.
- 为了确定脆弱状态变化对EmLap.之后的排放目的地的影响.
主要方法:
- 对63名65岁及以上的EmLap患者进行前性研究.
- 在EmLap前和EmLap后90天使用Rockwood临床脆弱度量表评估脆弱性.
- 对人口统计,死亡率和排放目的地的分析,在p < 0.05时确定显著性.
主要成果:
- 17.5%的患者在EmLap前是脆弱的;在EmLap后90天,15.9%的患者出现了新的脆弱.
- 25.8%的患者经历了出院目的地的变化,EmLap前的脆弱性和改变的家庭环境之间存在显著的关联 (p < 0.00001).
- 在那些排放目的地改变的人中,56.3%是脆弱的EmLap前.
结论:
- 紧急手术可能会加剧虚弱,增加出院后的护理需求.
- 术前和术后的脆弱性评估对于改善护理规划和管理EmLap后的患者期望至关重要.
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