与高需要高风险的老年人退伍军人利用脆弱性诊所相关的因素
Marianne Desir1,2,3,4, Fei Tang1, Carlos Gomez-Orozco5
1Miami VA Healthcare System Geriatric Research, Education & Clinical Center (GRECC) Miami Florida USA.
患有虚弱和慢性疾病 (如高血压和糖尿病) 的老年人更有可能参加专门的门诊诊所. 了解这些患者特征有助于改善对老年护理干预措施的参与.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
背景情况:
- 多领域的临床干预可以使具有脆弱性的高风险老年人受益.
- 患者参与这些老年医疗计划是可变的.
- 了解影响参与的因素对于项目成功至关重要.
研究的目的:
- 为了确定与参与门诊虚弱诊所干预相关的患者特征.
- 探索影响参与综合老年保健的因素.
- 应用安德森行为模型来理解参与模式.
主要方法:
- 对高需要,高风险的老年成人患者的回顾性研究提供了虚弱诊所干预 (FIT诊所).
- 利用安德森行为模型框架 (倾向性,需要,启用因素).
- 采用双变量分析来检查患者特征与临床参与之间的关联.
主要成果:
- 结婚和非裔美国人种族最初与更高的参与率 (倾向因素) 有关.
- 与非洲裔美国人种族的关联在控制慢性疾病时减少.
- 基本高血压,II型糖尿病和超重/肥胖与参与率增加有关 (需要因素).
- 由于数据局限性,在促进因素方面没有发现显著差异.
结论:
- 安德森行为模型为高风险的老年人提供了关于参与老年干预的见解.
- 特定的患者需求,如慢性疾病,是参与脆弱性诊所的关键驱动因素.
- 对促成因素的进一步研究可以加强对综合老年护理的参与策略.
更多相关视频
05:53Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
07:27Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty
Published on: October 6, 2016
相关概念视频
Factors Affecting Illness
For instance, risk factors are connected to illness,...
Factors Affecting Renal Clearance: Renal Impairment
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
Factors Affecting Protein-Drug Binding: Patient-Related Factors
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
