影響住院高齡者返家後行走功能恢復因素之探討

陳貞樺; 林佳蓉; 陳清惠; 胡芳文

doi:10.6224/JN.202004_67(2).09

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P65 - 74

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6224/JN

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影响住院高龄者返家後行走功能恢复因素之探讨

Factors Influencing the Recovery of Walking Ability in Older Adults After Hospital Discharge

陈贞桦(Chen-Hua CHEN) ；林佳蓉(Chia-Jung LIN) ；陈清惠(Ching-Huey CHEN) ；胡芳文(Fang-Wen HU)

护理杂志； 67 卷 2 期 (2020 / 04 / 01) ， P65 - 74

繁体中文 DOI： 10.6224/JN.202004_67(2).09

住院高龄者；行走；功能恢复； hospitalized older patients ； walking ability ； recovery

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摘要 │ 参考文献 (36) │ 被引用文献 (1) │ 国际计量

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Background: Functional decline is a common complication in hospitalized older adults, and decline in the ability to walk is often the first change in physical functioning in this population. Decline in walking ability leads to a loss of independence in the activities of daily living in older adults after discharge from the hospital. Purpose: To explore the factors associated with the recovery of walking ability in older adults after discharge from the hospital. Methods: This study used a longitudinal research design. Potential participants were recruited from a tertiary medical center in southern Taiwan. Patients were eligible for inclusion if they were at least 65 years old and were affected by a decline in walking ability at discharge. The data collected at discharge included: demographic information, Charlson Comorbidity Index, Modified Katz Index of Independence in Activities of Daily Living (walking item), Mini Nutritional Assessment, Mini-Mental State Examination, and ambulation during hospital stay. The follow-up data collected at three months after discharge included: Modified Katz Index of Independence in Activities of Daily Living (walking item), exercise habit, rehabilitation, and social support. Results: A total of 78 older adults were enrolled as participants. Three-quarters (75.64%) of the participants had regained their ability to walk at three months after discharge. Moreover, nutritional status, cognitive function, and exercise habit were significantly associated with the recovery of walking ability. The results of multiple logistic regression analysis showed having an exercise habit to be significantly associated with the recovery of walking ability at three months after discharge (OR = 10.212, p = .004). Conclusions/Implications for Practice: In addition to treating the acute medical issues of older patients, healthcare professionals should screen and provide them with appropriate nutritional, cognitive, and physical care plans. Moreover, emphasizing the importance of an exercise habit in nursing discharge plans is also important. This effort may help older adults recover their walking ability and maintain their independence.

参考文献 ( 36 ) 〈TOP〉

谢佳容, C. J.(2003)。老年人认知功能的指标测量与应用。医护科技学刊，5(4)，387-395。
连结：
Abe, T.,Soma, Y.,Kitano, N.,Jindo, T.,Sato, A.,Tsunoda, K.,Okura, T.(2017).Change in hand dexterity and habitual gait speed reflects cognitive decline over time in healthy older adults: A longitudinal study.Journal of Physical Therapy Science,29(10),1737-1741.
Barnes, D. E.,Mehta, K. M.,Boscardin, W. J.,Fortinsky, R. H.,Palmer, R. M.,Kirby, K. A.,Landefeld, C. S.(2013).Prediction of recovery, dependence or death in elders who become disabled during hospitalization.Journal of General Internal Medicine,28(2),261-268.
Bleda, M. J.,Bolibar, I.,Parés, R.,Salvà, A.(2002).Reliability of the mini nutritional assessment (MNA) in institutionalized elderly people.The Journal of Nutrition, Health & Aging,6(2),134-137.
Boyd, C. M.,Landefeld, C. S.,Counsell, S. R.,Palmer, R. M.,Fortinsky, R. H.,Kresevic, D.,Covinsky, K. E.(2008).Recovery of activities of daily living in older adults after hospitalization for acute medical illness.Journal of the American Geriatrics Society,56(12),2171-2179.

被引用文献 ( 1 ) 〈TOP〉

(2024)。照护一位高龄视障病人脱离呼吸器返家之护理经验。新台北护理期刊，26(2)，133-143。

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