护理复杂性的个人因素与COVID-19的老年住院患者之间的关联:一个横截面研究
Jordi Adamuz1,2,3, Julia González-Vaca2,3, Maribel González-Samartino1,2,3
1Nursing Knowledge Management and Information Systems Department, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain.
Frontiers in aging
|August 21, 2025
概括
患有COVID-19的老年人面临着随着年龄的增长而增加的复杂护理需求. 识别这些护理复杂性个体因素 (CCIF) 对于为老年患者量身定制支持至关重要.
科学领域:
- 老年学
- 传染性疾病
- 公共卫生
背景情况:
- 在COVID-19大流行期间,老年人住院率急剧上升.
- 有限的研究已经探讨了影响这一群体的多方面的护理复杂性因素.
- 了解年龄特定的护理需求对于有效的老年患者管理至关重要.
研究的目的:
- 在住院治疗的老年人中识别和分析护理复杂性个体因素 (CCIF).
- 确定这些CCIF在老年人群中不同年龄层的差异.
- 为老年COVID-19患者提供临床实践和资源配置信息.
主要方法:
- 这是一项涉及西班牙5,658例COVID-19住院病例的多中心,跨部门研究 (2020年3月 - 2022年3月).
- 患者分为年轻人 (65-74岁),中年人 (75-84岁) 和老年人 (≥85岁) 的年龄组.
- 用多项逻辑回归来评估四个领域的护理复杂性个体因素 (CCIF):并发症/并发症,心理情绪,心理认知和社会文化.
主要成果:
- 最年长的 (≥85岁) 群体中,CCIF的中位数是最高的 (七个),其次是中年 (六个) 和年轻 (四个).
- 在中年人群中, 慢性疾病,尿失禁和流动性问题等特定因素是普遍存在的.
- 最年长的群体表现出其他因素,如超重,沟通障碍和现实感知障碍.
结论:
- 患有COVID-19的老年患者 (≥75岁) 的护理复杂性明显高于年轻的老年人.
- 个人护理复杂性因素 (CCIF) 取决于年龄,需要进行系统评估.
- 将CCIF评估纳入常规护理中对于识别和解决住院老年人的独特需求至关重要.
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