可用于住院后的人:一个随机试验.
Sarah L Szanton1,2,3, David L Roth4, Kathryn Bowles4
1Johns Hopkins School of Nursing, Baltimore, Maryland, USA.
Journal of the American Geriatrics Society
|September 24, 2025
概括
在最近住院的老年人中,CAPABLE计划并没有改善日常生活活动. 然而,它增强了功能移动性,并使多种健康状况的个体受益.
科学领域:
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 住院治疗经常导致老年人的功能衰退和独立性丧失.
- 这可能会导致不良结果,如重新住院和养老院安置.
- CAPABLE计划是一个基于证据的干预措施,旨在增强功能限制的老年人的独立性.
研究的目的:
- 评估CAPABLE计划在最近住院的老年人中的有效性.
- 评估CAPABLE对日常生活活动 (ADL) 和功能移动性的影响.
- 确定医院住院后患者的特定子组,这些患者可能从CAPABLE中获益最多.
主要方法:
- 一项随机临床试验,涉及268名低收入,社区生活的成年人,最近从医院出院.
- 参与者接受了标准护理或CAPABLE干预,由跨学科团队在5个月内进行多达10次家庭访问.
- 结果包括ADL困难度的变化,仪器ADL和移动性措施.
主要成果:
- 与对照组相比,CAPABLE组在ADL整体难度上没有统计学上显著的改善.
- 在CAPABLE集团的复合流动性测量中观察到显著的改善.
- 在基线时患有四种或更多并发症的参与者经历了CAPABLE的显著改善ADL独立性.
结论:
- 在接受家庭医疗保健的近期住院患者中,CAPABLE计划并没有改善ADL.
- 然而,CAPABLE在功能性移动性和多种并发症患者中显示出好处.
- 研究结果表明,针对特定患者群体,在住院后期针对性地实施CAPABLE可能发挥作用.
更多相关视频
相关概念视频
01:13Randomized Experiments
8.9K
The randomization process involves assigning study participants randomly to experimental or control groups based on their probability of being equally assigned. Randomization is meant to eliminate selection bias and balance known and unknown confounding factors so that the control group is similar to the treatment group as much as possible. A computer program and a random number generator can be used to assign participants to groups in a way that minimizes bias.
Simple randomization
Simple...
Simple randomization
Simple...
8.9K
01:30Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
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...
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...
1.2K
01:11Blinding
3.8K
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
3.8K
00:59Hospitals-II
1.1K
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
1.1K