了解老年手术患者的手术前关注和对预康复的态度:一项调查研究
Melanie Li1, Ellene Yan2, Aparna Saripella3
1Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada.
老年手术患者最担心的是手术,麻醉和功能. 虽然愿意接受预康复治疗,但许多老年人对认知评估,特别是记忆测试犹不决.
科学领域:
- 老年人手术是一门老年手术.
- 在外科手术期间的医学.
- 患者报告的结果
背景情况:
- 接受手术的老年人经历了独特的手术前问题.
- 了解这些问题对于优化术后护理和患者参与至关重要.
研究的目的:
- 为了确定老年手术患者 (≥65岁) 的常见手术前问题.
- 探索他们对预康复,功能评估和认知评估的态度.
主要方法:
- 一项多中心,横截面研究,涉及236名65岁及以上的非心脏手术患者.
- 术前问卷评估了手术,麻醉,功能状态,认知状态和财务负担方面的担忧.
- 用利克特尺度衡量对预康复和评估的态度;因子分析确定了关注结构.
主要成果:
- 外科手术的担忧,特别是关于疼痛和并发症的担忧,是最高的.
- 对麻醉和功能状态的担忧也很重要.
- 对预康复的态度是积极的,但对记忆评估的意愿很低 (37%).
结论:
- 老年人对手术和功能结果表示严重担忧.
- 整体而言,人们对预康复计划的看法很好,但认知评估需要仔细考虑.
- 未来的研究应该专注于为老年人定制预康复,以改善坚持和结果.
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