Zorggroep Florence, Rijswijk, The Netherlands; Clinical Health Sciences, University Medical Center Utrecht, Utrecht University, The Netherlands.
Clinical Health Sciences, University Medical Center Utrecht, Utrecht University, The Netherlands; Stichting Humanitas, Rotterdam, The Netherlands.
Geriatr Nurs. 2021 Jan-Feb;42(1):83-93. doi: 10.1016/j.gerinurse.2020.11.010. Epub 2020 Dec 31.
Purpose; Returning to community living is an indicator for successful rehabilitation in older adults admitted to geriatric rehabilitation. Predicting successful rehabilitation could contribute to the deployment of early discharge planning, and leads to a more custom-made rehabilitation trajectory. This review aims to present an overview of factors associated with successful rehabilitation following inpatient geriatric rehabilitation. Method; A systematic literature review was conducted in PubMed, CINAHL and Embase. Extracted factors were analysed via Bakker's five levels of evidence. Results; Nine studies with methodological quality of good to moderate were included. For 13 of the 18 extracted factors, limited (n=3), moderate (n=5) and conflicting (n=5) evidence found a significant association. Conclusions; Caregiver, comorbidities, motor-function, nutritional status, time from onset are significantly related to successful rehabilitation. These factors could support healthcare professionals to indicate successful rehabilitation at admission and contributes to deployment of early discharge planning and development of more custom-made rehabilitation trajectories.
对于老年康复住院患者，回归社区生活是康复成功的一个指标。预测康复成功有助于提前制定出院计划，制定更具针对性的康复方案。本综述旨在概述与老年康复住院患者康复成功相关的因素。
在 PubMed、CINAHL 和 Embase 中进行了系统文献检索。通过 Bakker 的证据五级分类法分析提取出的因素。
纳入了 9 项研究，其方法学质量为良好至中等。对于 18 个提取出的因素中的 13 个，有限数量的研究（n=3）、中等数量的研究（n=5）和相互矛盾的研究（n=5）发现其与康复成功显著相关。
照料者、合并症、运动功能、营养状况、发病时间与康复成功显著相关。这些因素可以帮助医护人员在入院时预测康复成功，并有助于提前制定出院计划，制定更具针对性的康复方案。
