养老院居民髋部骨折后的住院多学科康复：一项随机试验。
Inpatient multidisciplinary rehabilitation after hip fracture for residents of nursing homes: a randomised trial.
作者信息
Uy Cesar, Kurrle Susan E, Cameron Ian D
机构信息
Rehabilitation and Aged Care Service, Hornsby Ku-ring-gai Hospital, New South Wales, Australia.
出版信息
Australas J Ageing. 2008 Mar;27(1):43-4. doi: 10.1111/j.1741-6612.2007.00277.x.
OBJECTIVE
To determine the effectiveness of interdisciplinary rehabilitation for women with hip fracture who were residents of nursing homes.
DESIGN
Randomised controlled trial.
SUBJECTS
Eleven cognitively impaired women with hip fracture who were previously ambulant.
METHODS
Participants were randomly allocated to usual care (discharge back to the nursing home soon after surgery to the hip fracture) or an inpatient interdisciplinary rehabilitation program.
RESULTS
Participants were severely cognitively impaired and the majority used a walking aid prior to fracturing their hip. There was one early death, and at final follow up (4 months after hip fracture) median (range) Barthel Index was 28 (0-82) for control group and 68 (0-88) for the intervention group.
CONCLUSION
No definite conclusion can be drawn about the effectiveness of the intervention because of its premature termination. However, the study established that it is feasible to provide an interdisciplinary rehabilitation for older people with hip fracture and severe disablement.
目的
确定针对养老院女性髋部骨折患者的多学科康复治疗的有效性。
设计
随机对照试验。
受试者
11名认知受损的既往能行走的髋部骨折女性。
方法
参与者被随机分配至常规护理组（髋部骨折手术后不久即出院返回养老院）或住院多学科康复计划组。
结果
参与者存在严重认知障碍，且大多数人在髋部骨折前使用助行器。有1例早期死亡，在最终随访（髋部骨折后4个月）时，对照组的Barthel指数中位数（范围）为28（0 - 82），干预组为68（0 - 88）。
结论
由于干预过早终止，无法就其有效性得出明确结论。然而，该研究证实为患有髋部骨折和严重残疾的老年人提供多学科康复治疗是可行的。
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