کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2650409 1139381 2016 8 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله
Hospital-acquired functional decline in older patients cared for in acute medical wards and predictors: Findings from a multicentre longitudinal study
ترجمه فارسی عنوان
کاهش عملکرد اکتسابی از بیمارستان در افراد مسن مراقبت شده در بخش حاد پزشکی و پیش بینی کننده ها: یافته های حاصل از یک مطالعه طولی چندمرکزی
کلمات کلیدی
وابستگی کارکردی؛ بهبود عملکرد؛ ثبات عملکردی؛ مراقبت های پرستاری؛ بیمارستان؛ واحدهای پزشکی؛ پیش بینی کنندگان؛ بررسی طولی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب سالمندان و علم پیری شناسی
چکیده انگلیسی

Describing the trajectories of hospital-associated functional decline in older patients admitted to acute medical units and identifying predictors at the individual, nursing, and hospital levels, were the aims of the study. A longitudinal survey among 12 acute medical units in which 1464 patients were consecutively enrolled and evaluated using the Barthel Index (BI), was performed. Functional decline was defined as a decrease in the BI of at least 5 points from admission to discharge. In all, 17.1% participants (n = 251) demonstrated functional decline. In accordance with multiple logistic regression analysis, 28.8% (R2) of the variance in the functional decline was explained by: confusion/disorientation (RR = 4.684; 95% CI = 3.144–6.978), admission from nursing homes (RR = 2.464; 95% CI = 1.642–3.697), daily care expressed in minutes offered by nursing aides (RR = 1.535; 95% CI = 1.275–1.849), higher workforce skill-mix (RR = 2.221; 95% CI = 1.763–2.797), bladder catheter insertion (RR = 1.599; 95% CI = 1.128–2.268), and higher BI score at admission (RR = 1.019; 95% CI = 1.014–1.024). Increasing the amount of care delivered by competent nurses—having a bachelors degree—providing and supervising direct-care activities, may reduce the occurrence of functional decline in older patients admitted to medical units.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Geriatric Nursing - Volume 37, Issue 3, May–June 2016, Pages 192–199
نویسندگان
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