周末物理治疗对老年住院患者身体功能的有效性
Effectiveness of Weekend Physiotherapy on Geriatric In-Patients' Physical Function.
作者信息
Rajendran Venkadesan, Jeevanantham Deepa, Falk Dylan
机构信息
Health Sciences North, Northern Ontario School of Medicine, Laurentian University, Sudbury, ON, Canada.
Health Sciences North, Northern Ontario School of Medicine, Sudbury, ON, Canada.
出版信息
Gerontol Geriatr Med. 2022 May 4;8:23337214221100072. doi: 10.1177/23337214221100072. eCollection 2022 Jan-Dec.
PURPOSE
Hospital-associated disability (HAD) is significant among geriatric patients admitted to acute care hospitals. The objective of the study is to evaluate the effectiveness of additional weekend physiotherapy on mobility impairments of high-risk older patients admitted to the acute medical unit.
METHODS
A prospective, non-randomized controlled trial was conducted in one of the medical units in a northern Ontario hospital. A total of 41 patients were recruited using a consecutive sampling method and assigned to a control group ( = 19) and an experimental group ( = 22). The de Morton Mobility Index (DEMMI) and the Barthel Index (BI) were the outcome measures.
RESULTS
A Mann-Whitney U test was used to analyze the group differences, and it showed that there was a statistically significant difference ( < .05) between the experimental and control groups on the DEMMI and the BI.
CONCLUSION
Additional weekend physiotherapy significantly improves elderly patients' physical function and gets them physically ready for discharge when medically stable. This may significantly reduce the alternate level of care for patients.
目的
在入住急症医院的老年患者中，医院相关残疾（HAD）情况较为严重。本研究的目的是评估额外的周末物理治疗对入住急性内科病房的高危老年患者行动障碍的有效性。
方法
在安大略省北部一家医院的一个内科病房进行了一项前瞻性、非随机对照试验。采用连续抽样方法共招募了41名患者，并将其分为对照组（n = 19）和实验组（n = 22）。德莫顿运动指数（DEMMI）和巴氏指数（BI）作为结局指标。
结果
采用曼-惠特尼U检验分析组间差异，结果显示实验组和对照组在DEMMI和BI上存在统计学显著差异（P < .05）。
结论
额外的周末物理治疗可显著改善老年患者的身体功能，并使他们在病情稳定时做好出院的身体准备。这可能会显著减少患者的替代护理级别。
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