New York University College of Nursing, New York, NY, USA.
Geriatr Nurs. 2012 Jul-Aug;33(4):272-9. doi: 10.1016/j.gerinurse.2012.01.008. Epub 2012 Mar 7.
Function-focused care (FFC) is an approach to care in which nurses help patients engage in activities of daily living (ADL) and physical activity, with the goal of preventing avoidable functional decline. This prospective, observational study, conducted with hospitalized older adults (N = 93) examined: 1) the demographic and clinical characteristics of patients who were provided FFC activity, and 2) the relationship between change in physical activity and FFC activities. Patients who received FFC were more likely: to be younger (P = .028); had one or more falls during the hospitalization (P = .048); had demonstrated better functional performance at admission (P = .004) and better physical capability, measured by the Tinetti gait and balance scale (P = .004). FFC was associated with less decrement in ADL function, admission to discharge, while considering patient characteristics (t = 7.6; P < .008). Results suggest that hospitalized older persons can benefit from FFC.
功能聚焦护理（FFC）是一种护理方法，旨在帮助患者参与日常生活活动（ADL）和体育活动，以预防可避免的功能下降。这项前瞻性观察研究共纳入 93 名住院老年人，分析了：1）接受 FFC 活动的患者的人口统计学和临床特征；2）体力活动变化与 FFC 活动之间的关系。接受 FFC 的患者更年轻（P=0.028）；在住院期间发生一次或多次跌倒（P=0.048）；入院时功能表现更好（P=0.004），身体能力更好，Tinetti 步态和平衡量表测量（P=0.004）。考虑到患者特征，FFC 与 ADL 功能下降幅度降低相关，从入院到出院（t=7.6；P<0.008）。结果表明，住院老年人可以从 FFC 中受益。
