School of Health Sciences, Research&Development, University of Applied Science and Arts Western Switzerland HES-SO, Rue des Arsenaux 16a, 1700, Fribourg, Switzerland.
apnurse, Bahnhofstrasse 32a, 7310, Bad Ragaz, Switzerland.
BMC Geriatr. 2022 Mar 19;22(1):227. doi: 10.1186/s12877-022-02885-z.
In Switzerland, there is a lack of adequate rehabilitation services, and effective coordination, that take into account the multifactorial health risks of older people. The literature shows that the hospitalisation rate in rehabilitation facilities has increased in recent years and that a gender bias exists. Additionally, there is little or no evidence available on the effect that a post-acute care programme might have over an extended period on functioning, quality of life and the informal network of older people. Therefore, the aim of this trial is to evaluate the sustainability of post-acute care within three nursing homes in Zurich, Canton of Zurich, Switzerland.
The Prevention Admission into Nursing homes (PAN) study is a explorative, prospective, longitudinal pilot trial based on a convenience sample of three long-term care facilities in the Swiss Canton of Zurich. The proposed pilot study will examine the effects of a post-acute care programme on people aged ≥65 years with a post-acute care potential ≥ three admitted to any of the three post-acute care units (n = 260). Older people of all sexes admitted to one of the post-acute care units and likely to be discharged to home within 8 weeks will be eligible for participation in the study. The primary endpoint is functionality based on the Barthel Index. The secondary endpoints are independency based on delirium, cognition, mobility, falling concerns, frailty, weight/height/body mass index, post-acute care capability, quality of life, and lastly, the informal network. As part of process evaluation, a qualitative evaluation will be conducted based on constructive grounded theory to specifically analyse how the experience of informal caregivers (n = 30) can contribute to a successful daily life 6 months after discharge.
We expect to observe improved functional status and independence after the post-acute care programme. The qualitative evaluation conducted with caregivers will complement our description of the transition of older people towards living at home.
This study is registered in the German Clinical Trials Register under DRKS00016647 (registered on 23.05.2019).
在瑞士，缺乏充分的康复服务，也缺乏有效的协调，以考虑老年人的多因素健康风险。文献表明，近年来康复设施的住院率有所上升，并且存在性别偏见。此外，关于急性后护理方案在较长时间内对功能、生活质量和老年人的非正式网络可能产生的影响，几乎没有或没有证据。因此，本试验的目的是评估在苏黎世、苏黎世州、瑞士的三个疗养院中急性后护理的可持续性。
预防入住养老院（PAN）研究是一项基于便利性样本的探索性、前瞻性、纵向试点试验，涉及瑞士苏黎世州的三个长期护理机构。拟议的试点研究将研究急性后护理方案对有急性后护理潜力≥3 岁且入住任何一个急性后护理单位的≥65 岁的人（n=260）的影响。所有性别的老年人只要入住急性后护理单位之一，预计在 8 周内出院回家，就有资格参加研究。主要终点是基于巴氏指数的功能。次要终点是基于谵妄、认知、移动、跌倒担忧、脆弱性、体重/身高/体重指数、急性后护理能力、生活质量和最后，非正式网络的独立性。作为过程评估的一部分，将根据建设性扎根理论进行定性评估，专门分析非正式照顾者（n=30）的经验如何有助于出院后 6 个月的日常生活成功。
我们预计急性后护理方案后功能状态和独立性会有所改善。与照顾者进行的定性评估将补充我们对老年人向居家生活过渡的描述。
本研究在德国临床试验注册中心注册，DRKS00016647（2019 年 5 月 23 日注册）。
