Grando Victoria T, Buckwalter Kathleen C, Maas Meridean L, Brown Marybeth, Rantz Marilyn J, Conn Vicki S
Arizona State University, College of Nursing and Healthcare Innovation, Phoenix, Arizona 85004, USA.
Res Gerontol Nurs. 2009 Jan;2(1):12-9. doi: 10.3928/19404921-20090101-06.
This pilot study examined the feasibility of implementing a comprehensive nursing rehabilitation program (CNRP) designed to promote the physical functioning of moderately frail nursing home residents post-hospitalization. The 4-week to 8-week CNRP incorporated three interventions: the Capacity Intervention (improving strength and balance), Performance Intervention (fostering daily mobility and activity), and Facilitating Intervention (providing education, support, and stress management). A longitudinal design was used with a convenience sample of 24 moderately frail residents. The CNRP was found to be not practical as designed because the intervention occurred too close to hospital discharge, and many prospective participants did not "feel up" to participating in a voluntary nursing rehabilitation program in addition to other prescribed rehabilitation. Regardless, participants were found to be able to perform the exercises safely and the CNRP was easily implemented in nursing homes. Testing the efficacy of the CNRP with nursing home residents is recommended after the initial post-hospitalization period.
这项试点研究检验了实施一项旨在促进中度虚弱的疗养院居民出院后身体机能的综合护理康复计划（CNRP）的可行性。为期4至8周的CNRP包含三项干预措施：能力干预（增强力量和平衡能力）、表现干预（促进日常活动能力和活动量）以及辅助干预（提供教育、支持和压力管理）。采用纵向设计，选取了24名中度虚弱居民的便利样本。结果发现，CNRP按设计方案实施并不实际，因为干预实施时间离出院太近，而且许多潜在参与者除了其他规定的康复治疗外，“没有精力”参与一项自愿的护理康复计划。尽管如此，研究发现参与者能够安全地进行锻炼，并且CNRP在疗养院中易于实施。建议在出院后的初始阶段过后，对疗养院居民测试CNRP的疗效。
