Anemia and its impact on function in nursing home residents: what do we know?
Anemia and its impact on function in nursing home residents: what do we know?
复制标题
贫血及其对疗养院居民功能的影响：我们知道什么？
DOI：
10.1111/j.1745-7599.2009.00471.x
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发表时间：
2010
影响因子：
--
通讯作者：
Hicks,GregoryE
中科院分区：
文献类型：
--
作者：
Sabol,ValerieK;Resnick,Barbara;Galik,Elizabeth;Gruber-Baldini,Ann;Morton,PatriciaGonce;Hicks,GregoryE
目的：为老年养老院（NH）居民提供高级执业护士（APN）有关贫血患病率和原因的信息，以影响诊断和管理策略，从而有助于改善身体功能和活动能力。数据来源：文献综述当前同行评议的研究文章。结论：在美国，贫血的患病率随着年龄的增长而增加，据报道，在老年NH居民中，贫血的患病率远高于社区居住的老年人。老年人贫血的原因往往是多因素的。老年人贫血，包括轻度贫血，甚至低正常水平贫血，表现出较低的肌肉力量，身体功能，活动能力，发病率和死亡率增加的结果。实践意义：鉴于贫血和NH居民身体表现结果之间潜在的显著关系，获得更好的理解将有助于指导未来的循证护理，使APN有机会定制医疗和恢复性护理干预措施。由于贫血是一种潜在的可改变的疾病，干预可以保留、限制或逆转功能损害和/或残疾，并允许最大程度的功能独立性。
Purpose:To provide the advanced practice nurse (APN) information on the prevalence and causes of anemia in elderly nursing home (NH) residents, in order to affect diagnostic and management strategies that may help improve physical function and mobility outcomes.Data Sources:Literature review of current peer-reviewed research articles.Conclusions:In the United States, the prevalence of anemia increases with advancing age, and are reported to be much higher among older NH residents than among community-dwelling older adults. Causes of anemia among the elderly are often multifactorial. Older individuals with anemia, including mild anemia and even low normal level, have demonstrated lower muscle strength, physical function, mobility, and increased morbidity and mortality outcomes.Implications for Practice:Given the potentially significant relationship between anemia and physical performance outcomes among NH residents, gaining a better understanding will help guide future evidence-based care by allowing the APN an opportunity to tailor both medical and restorative care interventions. Because anemia is a potentially modifiable condition, intervention may preserve, limit, or reverse functional impairment and/or disablement, and allow for maximal functional independence.