Resnick Barbara, Boltz Marie, Galik Elizabeth, McPherson Rachel, Kuzmik Ashley, Wells Chris, Zhu Shijun
University of Maryland School of Nursing, Baltimore, USA.
Penn State University, University Park, USA.
Clin Nurs Res. 2025 Feb;34(2):95-106. doi: 10.1177/10547738241305834. Epub 2024 Dec 30.
Older adults living with dementia engage in little physical activity when hospitalized. This has negative implications including functional decline, infections, and longer lengths of stay, and reflects a lower quality of care. One of the approaches used to help overcome challenges to engaging patients in physical activity and optimizing the quality of care provided is referred to as function-focused care. Function-focused care is a philosophy of care in which patients are helped to engage in physical activity, including mobility and self-care, at their highest level during all care interactions. The focus of this study was to describe the function-focused care provided by nurses at 2 and 6 months after exposure to the implementation of Function-Focused Care for Acute Care Using the Evidence Integration Triangle (FFC-AC-EIT). It was hypothesized that in treatment sites there would be an increase in the percentage of routine activities in which nurses provided function-focused care to patients between 2 and 6 months. This was a descriptive study of nurse-patient interactions. At 2 months, 54 nurse-patient observations were done, and at 6 months, 69 nurse-patient observations were done. Out of 19 possible activities in which the nurse could provide function-focused care, the mean number of function-focused care activities performed by nurses at 2 months was 3.2 ( = 2.0), or 83% of the observed activities. At 6 months, 2.6 ( = 2.6) function-focused care activities were performed and this increased to 86% of the activities observed. There was a mean of 0.5 ( = 1.1) or 16% of the observed function-focused care activities performed at 2 months and .3 ( = 0.8) or 11% of observed activities not performed at 6 months. Although there was a limited engagement of patients in physical activity during routine care overall, more function-focused care was provided to patients following the implementation of FFC-AC-EIT, the longer the staff were exposed to the intervention.
患有痴呆症的老年人在住院期间几乎不进行体育活动。这会产生负面影响，包括功能衰退、感染和住院时间延长，也反映出护理质量较低。用于帮助克服让患者参与体育活动的挑战并优化所提供护理质量的方法之一被称为功能聚焦护理。功能聚焦护理是一种护理理念，即在所有护理互动中帮助患者以最高水平参与体育活动，包括移动和自我护理。本研究的重点是描述护士在接触使用证据整合三角的急性护理功能聚焦护理（FFC-AC-EIT）实施后2个月和6个月时提供的功能聚焦护理。研究假设，在治疗地点，护士在2至6个月期间为患者提供功能聚焦护理的常规活动百分比会增加。这是一项对护患互动的描述性研究。在2个月时，进行了54次护患观察，在6个月时，进行了69次护患观察。在护士可以提供功能聚焦护理的19项可能活动中，护士在2个月时进行的功能聚焦护理活动平均数量为3.2（标准差=2.0），占观察活动的83%。在6个月时，进行了2.6（标准差=2.6）项功能聚焦护理活动，这增加到观察活动的86%。在2个月时进行的观察到的功能聚焦护理活动平均有0.5（标准差=1.1）项，即16%，在6个月时未进行的观察活动有0.3（标准差=0.8）项，即11%。尽管总体上在常规护理期间患者参与体育活动的情况有限，但在实施FFC-AC-EIT后，为患者提供了更多的功能聚焦护理，且工作人员接触该干预措施的时间越长。
