SCLHealth, Broomfield, Colorado.
Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
J Am Geriatr Soc. 2019 Jan;67(1):11-16. doi: 10.1111/jgs.15595. Epub 2018 Oct 1.
Mobility can be defined as the ability to move or be moved freely and easily. In older adults, mobility impairments are common and associated with risk for additional loss of function. Mobility loss is particularly common in these individuals during acute illness and hospitalization, and it is associated with poor outcomes, including loss of muscle mass and strength, long hospital stays, falls, declines in activities of daily living, decline in community mobility and social participation, and nursing home placement. Thus, mobility loss can have a large effect on an older adult's health, independence, and quality of life. Nevertheless, despite its importance, loss of mobility is not a widely recognized outcome of hospital care, and few hospitals routinely assess mobility and intervene to improve mobility during hospital stays. The Quality and Performance Measurement Committee of the American Geriatrics Society has developed a white paper supporting greater focus on mobility as an outcome for hospitalized older adults. The executive summary presented here focuses on assessing and preventing mobility loss in older adults in the hospital and summarizes the recommendations from that white paper. The full version of the white paper is available as Text S1. J Am Geriatr Soc 67:11-16, 2019.
活动能力可定义为自由、轻松移动或被移动的能力。在老年人中，活动能力受损很常见，并与进一步功能丧失的风险相关。在这些人急性疾病和住院期间，活动能力丧失尤其常见，与不良结局相关，包括肌肉质量和力量丧失、住院时间延长、跌倒、日常生活活动能力下降、社区活动和社会参与能力下降，以及入住疗养院。因此，活动能力丧失对老年人的健康、独立性和生活质量有很大影响。然而，尽管其重要性，活动能力丧失并不是医院护理中广泛认可的结果，很少有医院常规评估活动能力并在住院期间进行干预以改善活动能力。美国老年医学学会质量和绩效测量委员会已经制定了一份白皮书，支持更加关注住院老年患者的活动能力，作为一个结果。本文提供的执行摘要重点关注评估和预防老年人在医院期间的活动能力丧失，并总结了该白皮书中的建议。白皮书全文可作为 Text S1 查阅。J Am Geriatr Soc 67:11-16, 2019.
