急诊或择期骨科手术后的康复：恢复力在老年患者中的作用。
Rehabilitation After Urgent or Elective Orthopedic Surgery: The Role of Resilience in Elderly Patients.
作者信息
Sciumè Luciana, Rebagliati Giulia Angela Antonella, Iannello Paola, Mottini Anna, Alessandro Antonietti, Caserta Antonello Valerio, Gattoronchieri Valeria, Panella Lorenzo
机构信息
Department of Physical and Rehabilitation Medicine, Istituto Ortopedico Gaetano Pini, Milan, Italy.
Department of Neurorehabilitation Sciences, Casa di Cura del Policlinico, Milan, Italy.
出版信息
Rehabil Nurs. 2018 Sep/Oct;43(5):267-274. doi: 10.1097/rnj.0000000000000038.
PURPOSE
The aim of this investigation was to assess resilience within an elderly population during postacute rehabilitation for orthopedic surgery and to identify the role of resilience on rehabilitation outcomes by comparing hip fracture and elective patients (total knee and hip arthroplasty).
DESIGN
We conducted a prospective study in an orthopedic rehabilitation department.
METHODS
On admission and on discharge, 80 patients aged over 60 years underwent a multidimensional evaluation with the Resilience Scale, the Functional Independence Measure (FIM), the Multidimensional Prognostic Index, and the World Health Organization Quality of Life-BREF.
FINDINGS
Hip-fractured patients had a lower level of resilience. High-resilient fracture patients achieved higher FIM scores. For elective patients, no differences on FIM score occurred for different resilience levels.
CONCLUSIONS AND CLINICAL RELEVANCE
Resilience plays a significant role in reaching optimal functional recovery in hip-fractured elderly people. Results suggest the introduction of early routine assessment of resilience in future outcome studies in rehabilitation.
目的
本研究旨在评估老年骨科手术后急性康复期的恢复力，并通过比较髋部骨折患者和择期手术患者（全膝关节置换术和全髋关节置换术）来确定恢复力对康复结果的作用。
设计
我们在一个骨科康复科进行了一项前瞻性研究。
方法
80名60岁以上的患者在入院时和出院时接受了多维评估，评估工具包括恢复力量表、功能独立性测量（FIM）、多维预后指数和世界卫生组织生活质量简表。
结果
髋部骨折患者的恢复力水平较低。恢复力高的骨折患者FIM得分更高。对于择期手术患者，不同恢复力水平的患者FIM得分没有差异。
结论及临床意义
恢复力在髋部骨折老年人实现最佳功能恢复方面起着重要作用。结果表明，在未来的康复结局研究中应引入恢复力的早期常规评估。
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