Lafrenière Sylvie, Folch Nathalie, Dubois Sylvie, Bédard Lucie, Ducharme Francine
1 University of Montreal Hospital Center (CHUM), Québec, Canada.
2 University of Montreal, Québec, Canada.
Clin Nurs Res. 2017 Feb;26(1):6-26. doi: 10.1177/1054773815601392. Epub 2016 Jul 25.
Almost one third of older patients hospitalized for acute care suffer functional decline. Few studies have investigated the point of view of older patients on prevention of this decline. Within the framework of a descriptive qualitative study, the perceptions of 30 hospitalized older adults were collected regarding their personal prevention strategies, the barriers to implementing these, and nursing staff interventions deemed useful. Results show that participants are sensitive to the risk of functional decline and utilize various preventive strategies particularly to maintain their physical abilities, maintain good spirits, keep a clear mind, and foster nutrition and sleep. Their strategies are difficult to implement on account of internal and external barriers. Nursing interventions deemed useful are good relational approach, strong basic care, appropriate assessment, and respect for level of autonomy. The study underscores that older hospitalized patients are applying strategies to prevent functional decline, but some nursing interventions may thwart their efforts.
近三分之一因急症住院的老年患者出现功能衰退。很少有研究调查老年患者对预防这种衰退的看法。在一项描述性定性研究的框架内，收集了30名住院老年人对其个人预防策略、实施这些策略的障碍以及被认为有用的护理人员干预措施的看法。结果表明，参与者对功能衰退风险很敏感，并采用各种预防策略，特别是为了保持他们的身体能力、保持良好精神状态、保持头脑清醒以及促进营养和睡眠。由于内部和外部障碍，他们的策略难以实施。被认为有用的护理干预措施包括良好的关系处理方法、有力的基础护理、适当的评估以及对自主水平的尊重。该研究强调，住院老年患者正在应用预防功能衰退的策略，但一些护理干预措施可能会阻碍他们的努力。
