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年龄和性别是影响康复医疗质量的预测因素。

Age and gender as predictors of allied health quality stroke care.

机构信息

International Centre for Allied Health Evidence, University of South Australia Adelaide, South Australia, Australia;

出版信息

J Multidiscip Healthc. 2011;4:239-45. doi: 10.2147/JMDH.S21559. Epub 2011 Jul 22.

DOI:10.2147/JMDH.S21559
PMID:21847346
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3155854/
Abstract

BACKGROUND

Improvement in acute stroke care requires the identification of variables which may influence care quality. The nature and impact of demographic and stroke-related variables on care quality provided by allied health (AH) professionals is unknown.

AIMS

Our research explores the association of age and gender on an index of acute stroke care quality provided by AH professionals.

METHODS

A retrospective clinical audit of 300 acute stroke patients extracted data on AH care, patients' age and gender. AH care quality was determined by the summed compliance with 20 predetermined process indicators. Our analysis explored relationships between this index of quality, age, and gender. Age was considered in different ways (as a continuous variable, and in different categories). It was correlated with care quality, using gender-specific linear and logistic regression models. Gender was then considered as a confounder in an overall model.

RESULTS

No significant association was found for any treatment of age and the index of AH care quality. There were no differences in gender-specific models, and gender did not significantly adjust the age association with care quality.

CONCLUSION

Age and gender were not predictors of the quality of care provided to acute stroke patients by AH professionals.

摘要

背景

改善急性中风护理需要确定可能影响护理质量的变量。联合健康(AH)专业人员的人口统计学和中风相关变量的性质和影响对所提供护理质量的影响尚不清楚。

目的

我们的研究探讨了年龄和性别对 AH 专业人员提供的急性中风护理质量指数的关联。

方法

对 300 名急性中风患者进行回顾性临床审核,收集 AH 护理、患者年龄和性别数据。AH 护理质量由 20 个预定过程指标的合规性总和确定。我们的分析探讨了质量指数、年龄和性别之间的关系。年龄以不同的方式(连续变量和不同类别)进行考虑。使用性别特异性线性和逻辑回归模型将其与护理质量相关联。然后,将性别视为整体模型中的混杂因素。

结果

没有发现年龄和 AH 护理质量指数之间存在任何关联。在性别特异性模型中没有差异,性别也没有显著调整年龄与护理质量的关系。

结论

年龄和性别不是 AH 专业人员为急性中风患者提供的护理质量的预测因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4a/3155854/33e045292805/jmdh-4-239f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4a/3155854/e798801de051/jmdh-4-239f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4a/3155854/7a2a0742e38e/jmdh-4-239f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4a/3155854/4e212f977691/jmdh-4-239f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4a/3155854/87e84b3738a7/jmdh-4-239f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4a/3155854/33e045292805/jmdh-4-239f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4a/3155854/e798801de051/jmdh-4-239f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4a/3155854/7a2a0742e38e/jmdh-4-239f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4a/3155854/4e212f977691/jmdh-4-239f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4a/3155854/87e84b3738a7/jmdh-4-239f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4a/3155854/33e045292805/jmdh-4-239f5.jpg

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本文引用的文献

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Int J Stroke. 2010 Dec;5(6):466-76. doi: 10.1111/j.1747-4949.2010.00488.x.
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Sex differences in presentation, severity, and management of stroke in a population-based study.一项基于人群的研究中中风在表现、严重程度及治疗方面的性别差异。
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Sex differences in presentation, severity, and management of stroke in a population-based study.
人口统计学和与中风相关的因素可预测联合保健专业人员提供的急性中风护理质量。
J Multidiscip Healthc. 2011;4:247-59. doi: 10.2147/JMDH.S22569. Epub 2011 Jul 22.
基于人群的研究显示,在脑卒中的表现、严重程度和治疗方面存在性别差异。
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