Johns Hopkins School of Nursing, USA; Johns Hopkins School of Nursing Center of Innovative Care in Aging, USA.
Johns Hopkins School of Nursing, USA.
Geriatr Nurs. 2019 Jul-Aug;40(4):424-430. doi: 10.1016/j.gerinurse.2019.01.003. Epub 2019 Feb 22.
Although self-management interventions can improve symptoms and disease among older adults, there is a dearth of literature on how self-management behaviors may improve factors related to the older adults' physical function. To fill this gap in the literature, we describe the patient-directed self-management goals in nursing visits that relate to physical function as part of a multi-component program. We analyze the self-management goals and outcomes of 367 low- income older adults with functional limitations who participated in the CAPABLE program: a program to reduce the health effects of impaired physical function in low-income older adults. We focus on the following self-management goals that participants chose with the nurses: pain management, depressive symptoms, incontinence, fall prevention, and communication with healthcare providers. The majority of participants chose pain (50%) or fall prevention (51%) as goals and partially or fully met their goals. Improvements across these areas may lead to improved physical function.
虽然自我管理干预可以改善老年人的症状和疾病，但关于自我管理行为如何改善与老年人身体功能相关的因素的文献却很少。为了填补这一文献空白，我们描述了护理访视中与身体功能相关的患者导向的自我管理目标，作为多组分计划的一部分。我们分析了参与 CAPABLE 计划的 367 名低收入有功能障碍的老年人的自我管理目标和结果：该计划旨在减轻低收入老年人身体功能障碍对健康的影响。我们重点关注参与者与护士共同选择的以下自我管理目标：疼痛管理、抑郁症状、尿失禁、跌倒预防和与医疗保健提供者的沟通。大多数参与者选择疼痛（50%）或跌倒预防（51%）作为目标，并部分或完全实现了这些目标。这些方面的改善可能会导致身体功能的改善。
