Function-Focused Care and Changes in Physical Function in Chinese American and Non-Chinese American Hospitalized Older Adults
Function-Focused Care and Changes in Physical Function in Chinese American and Non-Chinese American Hospitalized Older Adults
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DOI：
10.1002/j.2048-7940.2011.tb00088.x
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发表时间：
2011-11-01
影响因子：
1.3
通讯作者：
Secic, Michelle
中科院分区：
文献类型：
--
作者：
Boltz, Marie;Resnick, Barbara;Secic, Michelle
以功能为中心的护理（FFC）是一种康复护理理念，护士帮助患者进行日常生活和身体活动，以防止可避免的功能下降。这项前瞻性的观察性研究描述了护理人员提供的FFC的程度，以华裔美国人（n = 32）和非华裔美国人（n = 43）的老年人在内科，外科单位的城市医院。在两组中，只有少数AOL是FFC的焦点。两组患者均发生身体功能丧失，出院时身体功能均未恢复至基线水平;然而，FFC下降较少。结果表明，住院老人，无论是华裔美国人和非华裔美国人，可以受益于护士领导的FFC。FFC可能有助于最大限度地减少功能下降，减少急性期后护理康复的使用。老年康复护士可以发挥重要作用，指导一项功能：在整个住院期间，包括过渡性护理计划，采取重点关注的方法。
Function-focused care (FFC) is a rehabilitative philosophy of care with which nurses help patients engage in activities of daily living and physical activity with the goal of preventing avoidable functional decline. This prospective, obsetvational study described the degree of FFC provided by nursing staff to Chinese American (n = 32) and non Chinese American (n = 43) older adults in medical-surgical units of an urban hospital. In both groups, only a few AOLs were a focus of FFC. Loss of physical function occurred, and physical function did not return to baseline by discharge in both groups; however; FFC was associated with less decline. Results suggest that hospitalized elders, both Chinese American and non Chinese American, can benefit from nurse-led FFC. FFC may help minimize functional decline and decrease the use of postacute care rehabilitation. The gerontological rehabilitation nurse can play an essential role, guiding a function:focused approach throughout the hospital stay, including with the transitional care plan.