PATIENT GOALS IN POST-ACUTE GERIATRIC REHABILITATION: GOAL ATTAINMENT IS AN INDICATOR FOR IMPROVED FUNCTIONING
PATIENT GOALS IN POST-ACUTE GERIATRIC REHABILITATION: GOAL ATTAINMENT IS AN INDICATOR FOR IMPROVED FUNCTIONING
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DOI：
10.2340/16501977-0636
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发表时间：
2011-01-01
影响因子：
3.5
通讯作者：
Grill, Eva
中科院分区：
文献类型：
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作者：
Kus, Sandra;Mueller, Martin;Grill, Eva
目的：为了确定老年患者在老年康复的目标，并衡量其改善整体functions.Design：一个前瞻性的多中心队列study.Methods：一个半结构化的问卷调查被用来确定患者的目标，并评估改善整体功能从患者和卫生专业人员的角度。患者的目标与国际功能、残疾和健康分类（ICF）相关联。使用残差变化评分，我们确定了患者谁改善超过统计学expected.Results：共有209例患者给了476个语句。其中，346份（72.7%）声明与58个不同的ICF类别有关。超过90%的ICF类别是综合性老年ICF核心集的一部分。“行走”、“摆脱疼痛”、“自主”和“回家”是最常报告的目标。多变量分析确定较短的住院时间和目标的实现是显着的预测改善整体功能从patients' perspective.Conclusion：ICF可用于识别和结构患者的目标，在老年康复。目标实现和整体功能改善之间的关联强调了在康复过程中考虑患者观点的必要性。
Objective: To identify goals of older patients in geriatric rehabilitation and to measure their improvement in overall functioning.Design: A prospective multi-centre cohort study.Methods: A semi-structured questionnaire was used to identify patient goals and to assess improvement in overall functioning from patients' and health professionals' perspectives. Patients' goals were linked to the International Classification of Functioning, Disability and Health (ICF). Using a residualized change score, we identified patients who improved more than statistically expected.Results: A total of 209 patients gave 476 statements. Of these, 346 (72.7%) statements were linked to 58 different ICF categories. More than 90% of the ICF categories were part of the comprehensive geriatric ICF Core Set. "Walking", "getting rid of pain", "autonomy" and "returning home" were the most frequently reported goals. Multivariable analysis identified shorter length of inpatient stay and goal attainment to be significant predictors for an improvement in overall functioning from the patients' perspective.Conclusion: The ICF can be used to identify and structure patients' goals in geriatric rehabilitation. The association between goal attainment and improved overall functioning underlines the necessity of considering the patients' perspective in the rehabilitation process.