Frailty and Rehabilitation
Frailty and Rehabilitation
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DOI：
10.1159/000381229
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发表时间：
2015-01-01
期刊：
影响因子：
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通讯作者：
Kurrle, Susan E.
中科院分区：
文献类型：
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作者：
Cameron, Ian D.;Kurrle, Susan E.
虚弱的康复方法处于发展的早期阶段。虚弱也显示出作为康复计划的预后指标的希望，类似于其在其他医学领域的应用。然而，应该注意不要将体弱的老年人排除在康复之外，就像一些中心为认知障碍或非常严重的残疾人提供的情况一样。有明确的理论理由可以预期康复办法将是有效的。一些实验数据也表明，康复是有效的体弱和体弱前的老年人。已被证明是临床和经济有效的虚弱干预计划的原则如下：第一，虚弱可以减轻;第二，支持需求单独解决;第三，干预措施旨在改善身体，认知和社会功能;第四，支持必须在很长一段时间内提供;最后，系统必须促进一致的管理。鼓励和支持大多数体弱的老年人坚持他们的干预计划。重要的是要认识到家庭和/或照顾者的需要，并与他们接触。(C)2015 S. Karger AG，巴塞尔
Rehabilitation approaches to frailty are in the early stages of development. Frailty also shows promise as a prognostic indicator for rehabilitation programs, similar to its application in other areas of medicine. However, care should be taken not to exclude frail older people from rehabilitation, as has been the case at some centers for people with cognitive impairment or very severe disability. There are clear theoretical reasons to expect that a rehabilitation approach will be effective. Some experimental data are also available suggesting that rehabilitation is effective in frail and pre-frail older people. The principles of a frailty intervention program that have been demonstrated to be clinically and economically effective are as follows: first, frailty can be mitigated; second, support needs are individually addressed; third, the interventions aim to improve physical, cognitive and social functioning; fourth, support has to be delivered over a long time period; and finally, systems must facilitate consistent management. Most frail older people are encouraged and supported to adhere to their intervention plan. It is important to recognize the needs of families and/or carers and to engage with them. (C) 2015 S. Karger AG, Basel