Boltz Marie, Resnick Barbara, Capezuti Elizabeth, Shabbat Nina, Secic Michelle
New York University College of Nursing, New York, NY, USA.
Rehabil Nurs. 2011 Nov-Dec;36(6):233-40. doi: 10.1002/j.2048-7940.2011.tb00088.x.
Function-focused care (FFC) is a rehabilitative philosophy of care with which nurses help patients engage in activities of daily living and physical activity with the goal of preventing avoidable functional decline. This prospective, observational study described the degree of FFC provided by nursing staff to Chinese American (n = 32) and non-Chinese American (n = 43) older adults in medical-surgical units of an urban hospital. In both groups, only a few ADLs were a focus of FFC. Loss of physical function occurred, and physical function did not return to baseline by discharge in both groups; however, FFC was associated with less decline. Results suggest that hospitalized elders, both Chinese American and non-Chinese American, can benefit from nurse-led FFC. FFC may help minimize functional decline and decrease the use of postacute care rehabilitation. The gerontological rehabilitation nurse can play an essential role, guiding a function-focused approach throughout the hospital stay, including with the transitional care plan.
功能导向护理（FFC）是一种康复护理理念，护士通过该理念帮助患者参与日常生活活动和体育活动，以防止出现可避免的功能衰退。这项前瞻性观察研究描述了城市医院内科-外科病房的护理人员为华裔美国老年人（n = 32）和非华裔美国老年人（n = 43）提供功能导向护理的程度。在两组中，只有少数日常生活活动是功能导向护理的重点。两组均出现了身体功能丧失的情况，且出院时身体功能均未恢复至基线水平；然而，功能导向护理与较少的功能衰退相关。结果表明，住院的华裔美国老年人和非华裔美国老年人都可以从护士主导的功能导向护理中受益。功能导向护理可能有助于将功能衰退降至最低，并减少急性后期护理康复的使用。老年康复护士可以发挥重要作用，在整个住院期间，包括在过渡护理计划中，指导以功能为重点的护理方法。
