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一项针对体弱老年人在医院和家庭之间的过渡性护理计划的有效性:一项随机对照试验。

The effectiveness of a transitional care program for frail older adults between hospital and home: A randomized controlled trial.

作者信息

Lee Ji Yeon, Kim Sue, Kim Gwang Suk, Lee Kyung Hee, Kim Chang Oh, Cho Eunhee

机构信息

Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, South Korea, 03722.

Yonsei University College of Medicine, Seoul, South Korea, 03722.

出版信息

Geriatr Nurs. 2023 Oct 28;54:272-279. doi: 10.1016/j.gerinurse.2023.10.008.

DOI:10.1016/j.gerinurse.2023.10.008
PMID:39491261
Abstract

This study evaluated the effectiveness of a transitional care program developed for frail older adults. A single-blinded randomized controlled trial was conducted. Thirty-two frail older adults were enrolled in the study. The experimental group was provided the transitional care program for 12 weeks (e.g., inpatient intervention, discharge intervention, and follow-up intervention), while the control group was provided the usual care. The program improved transition conditions (i.e., family interaction and community resource utilization) and transition response (i.e., unplanned emergency room visit rate, depression, and self-rated health). The transitional care program was effective in improving some health service utilization and clinical outcomes of frail older adults experiencing hospital-to-home transition; it thus contributed to promoting a safe transition experience.

摘要

本研究评估了为体弱老年人制定的过渡性护理计划的有效性。进行了一项单盲随机对照试验。32名体弱老年人参与了该研究。实验组接受了为期12周的过渡性护理计划(如住院干预、出院干预和随访干预),而对照组接受常规护理。该计划改善了过渡条件(即家庭互动和社区资源利用)以及过渡反应(即非计划急诊室就诊率、抑郁和自评健康状况)。过渡性护理计划在改善一些经历从医院到家过渡的体弱老年人的医疗服务利用和临床结局方面是有效的;因此,它有助于促进安全的过渡体验。

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