Reducing hydration-linked events in nursing home residents.

Reducing hydration-linked events in nursing home residents.
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DOI:
10.1177/1054773803252996
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发表时间:
2003-08-01
影响因子:
1.7
通讯作者:
Culp, Kennith
Culp, Kennith
中科院分区:
医学4区
文献类型:
--
作者:
Mentes, Janet C;Culp, Kennith

文献摘要

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作者采用准实验治疗和对照组设计,来自四家养老院的49名参与者来测试8周水合作用干预在减少水合作用相关事件(HLEs)方面的有效性。计算Kaplan Meier生存曲线和log rank检验来确定HLE的发生率和发生时间。治疗组和对照组在8周内HLE的发生率和时间没有差异(p < 0.05)。然而,治疗组的参与者被发现比对照组的参与者更虚弱,更有认知障碍,更容易出现急性思维混乱。虽然两组间无统计学差异,但治疗组中病情较弱、风险较高的受试者HLEs发生率较低,具有临床意义。
The authors used a quasi-experimental treatment and control group design with 49 participants from four nursing homes to test the effectiveness of an 8-week hydration intervention in reducing hydration-linked events (HLEs). A Kaplan Meier survival curve with log rank test was calculated to determine incidence and time to occurrence of a HLE. Incidence of and time to a HLE did not differ between the treatment and control groups over an 8-week period (p > .05). However, treatment group participants were found to be more frail, more cognitively impaired and more at risk for acute confusion than the control group participants. Although there were no statistically significant differences between the groups, it is clinically significant that the frailer, more at-risk participants in the treatment group had a lower incidence of HLEs.