Clinically relevant behaviors in elderly hip fracture in patients
Clinically relevant behaviors in elderly hip fracture in patients
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DOI：
10.2190/6rek-nyyd-maxf-td34
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发表时间：
2002-01-01
影响因子：
2
通讯作者：
Reynolds, CF
中科院分区：
文献类型：
--
作者：
Dorra, HH;Lenze, EJ;Reynolds, CF
目的：探讨老年髋部骨折后康复治疗中住院康复人员记录的行为范围及其与功能结果的关系。方法：研究对象为137名60岁及以上的髋部骨折后康复医院住院患者，根据入院期间功能独立性测量运动量表分的变化，确定康复效果好或差。他们的图表被系统地审查，以供护理和治疗人员记录行为。比较康复效果良好组和康复效果差组的行为发生率。结果：认知障碍和康复参与障碍普遍存在，且与康复效果差有关。反映抑郁和焦虑的行为相对少见，与康复结果无关。结论：康复工作人员经常发现并记录与较差的康复结果相关的认知和参与方面的障碍。建议将工作人员的意见定期添加到心理健康评估中。此外，常规的精神健康筛查和工作人员要求的行为记录将提高病例发现率。
Objective: To examine the range of behaviors documented by inpatient rehabilitation staff and the association of these behaviors with functional outcome, in elderly persons undergoing rehabilitation after hip fracture. Method: Subjects were 137 patients, aged 60 and older, admitted to a rehabilitation hospital after a hip fracture, defined as having either a good or poor rehabilitation outcome based on change in Functional Independence Measure motor subscale scores during the course of their admission. Their charts were systematically reviewed for nursing and therapy staff documentation of behaviors. Prevalence of behaviors was compared between good and poor rehabilitation outcome groups. Results: Disturbances in cognition and rehabilitation participation were common and were associated with poorer rehabilitation outcome. Behaviors reflective of depression and anxiety were relatively uncommon and not associated with rehabilitation outcome. Conclusions: Rehabilitation staff frequently detect and document disturbances in cognition and participation that are associated with poorer rehabilitation outcome. It is recommended that staff observations be routinely added to mental health evaluations. Additionally, routine mental health screening and required staff documentation of behaviors would improve case detection rate.