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老年人行动能力受损与功能衰退:促进实践变革的证据

Impaired Mobility and Functional Decline in Older Adults: Evidence to Facilitate a Practice Change.

作者信息

Gray-Miceli Deanna

机构信息

Rutgers University, School of Nursing, 180 University Avenue, 258 Ackerson Hall, Newark, NJ 07102, USA; Institute for Health, Health Care Policy and Aging Research, 112 Paterson Street, New Brunswick, NJ 08901, USA.

出版信息

Nurs Clin North Am. 2017 Sep;52(3):469-487. doi: 10.1016/j.cnur.2017.05.002.

Abstract

The Centers for Medicare and Medicaid services report nearly 55% of Medicare beneficiaries older than 85 experience impaired mobility and nearly 28% (n = 671,833) of these individuals have difficulty getting help. Impaired mobility is a precursor to disability, which has notable clinical significance and importance to older adults. Using case exemplars of older adults who have experienced a "serious" fall, along with evidence-based research, the physical, psychosocial, emotional, and clinical consequences are discussed, along with assessment parameters and interventions for maximizing function and early mobility.

摘要

医疗保险和医疗补助服务中心报告称,85岁以上的医疗保险受益人中有近55%行动不便,其中近28%(n = 671,833)的人在获得帮助方面存在困难。行动不便会导致残疾,这对老年人具有显著的临床意义和重要性。本文通过列举经历过“严重”跌倒的老年人的案例,并结合循证研究,探讨了身体、心理社会、情感和临床方面的后果,以及为实现功能最大化和早期行动能力而进行的评估参数和干预措施。

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