Glazier Sherry R, Schuman John, Keltz Esther, Vally Ashnor, Glazier Richard H
Providence Center, Geriatric Assessment and Treatment Unit, Regional Geriatric Program, Eastern Services, Toronto, Canada.
J Am Geriatr Soc. 2004 Feb;52(2):284-9. doi: 10.1111/j.1532-5415.2004.52072.x.
To examine the performance of an expanded menu of goals in a geriatric rehabilitation setting incorporating patient, family, and team perspectives.
Prospective comparative study.
Inpatient geriatric rehabilitation unit.
Nineteen consecutive eligible inpatients and their family members and seven unit team members.
Each participant independently reviewed a standardized menu of medical, functional, psychosocial, spiritual, and future planning goals, which were compared with the goals set by the healthcare team.
On average, patients and their family members agreed on goals about half the time; family members tended to have more goals than patients. Agreement between the team and patients and families was poor (kappas=-0.11-0.33). The team was less likely to identify functional, psychosocial, spiritual, and future planning goals.
Patients and families have a broad range of goals that are not always identified by the healthcare team. A comprehensive standardized menu is feasible and may be helpful in setting goals in a geriatric rehabilitation setting.
在结合患者、家属和团队观点的老年康复环境中，检验一份扩展目标菜单的执行情况。
前瞻性比较研究。
老年康复住院部。
19名连续符合条件的住院患者及其家属，以及7名科室团队成员。
每位参与者独立审查一份包含医疗、功能、心理社会、精神和未来规划目标的标准化菜单，并将其与医疗团队设定的目标进行比较。
平均而言，患者及其家属约有一半时间在目标上达成一致；家属设定的目标往往比患者更多。团队与患者及家属之间的一致性较差（卡帕值=-0.11-0.33）。团队识别功能、心理社会、精神和未来规划目标的可能性较小。
患者和家属有广泛的目标，而医疗团队并非总能识别这些目标。一份全面的标准化菜单是可行的，可能有助于在老年康复环境中设定目标。
