优化创伤后老年人的身体活动：克服系统和患者面临的挑战。
Optimizing physical activity among older adults post trauma: Overcoming system and patient challenges.
作者信息
Resnick Barbara, Galik Elizabeth, Wells Chris L, Boltz Marie, Holtzman Lauren
机构信息
University of Maryland School of Nursing, 655 West Lombard Street, Baltimore, MD 21201, USA.
University of Maryland School of Nursing, 655 West Lombard Street, Baltimore, MD 21201, USA.
出版信息
Int J Orthop Trauma Nurs. 2015 Nov;19(4):194-206. doi: 10.1016/j.ijotn.2015.03.007. Epub 2015 Mar 20.
BACKGROUND
By 2050 it is anticipated that close to half (40%) of all trauma patients will be over the age of 65. Recovery for these individuals is more complicated than among younger individuals. Early mobilization has been shown to improve outcomes. Unfortunately, there are many challenges to early mobilization. The Function Focused Care Intervention was developed to overcome these challenges.
PURPOSE
The purpose of this paper was to describe the initial recruitment of the first 25 participants and delineate the challenges and successes associated with implementation of this intervention.
RESULTS
Overall recruitment rates were consistent with other studies and the intervention was implemented as intended. Most patients were female, white and on average 79 years of age. Optimizing physical activity of patients was a low priority for the nurses with patient safety taking precedence. Patients spent most of the time in bed. Age, depression and tethering were the only factors that were associated with physical activity and functional outcomes of patients.
CONCLUSION
Ongoing work is needed to keep patients physically active in the immediate post trauma recovery period.
背景
预计到2050年，近一半（40%）的创伤患者年龄将超过65岁。这些人的康复比年轻人更为复杂。早期活动已被证明可改善预后。不幸的是，早期活动面临诸多挑战。功能聚焦护理干预旨在克服这些挑战。
目的
本文旨在描述最初25名参与者的招募情况，并阐述与实施该干预相关的挑战和成功经验。
结果
总体招募率与其他研究一致，干预按计划实施。大多数患者为女性、白人，平均年龄79岁。护士将患者安全置于首位，对优化患者身体活动的重视程度较低。患者大部分时间卧床。年龄、抑郁和束缚是与患者身体活动及功能预后相关的唯一因素。
结论
在创伤后恢复期立即让患者保持身体活动，仍需持续努力。
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