一项加强养老院老年人联合健康护理的方案：EAHOP 干预措施。

A Protocol for Enhancing Allied Health Care for Older People in Residential Care: The EAHOP Intervention.

作者信息

Isbel Stephen, D'Cunha Nathan M, Wiseman Lara, Dawda Paresh, Kosari Sam, Pearce Claire, Fearon Angela, Sabeti Faran, Hewitt Jennifer, Kellett Jane, Naunton Mark, Southwood Helen, Logan Pip, Subramanian Ramanathan, Chadborn Neil H, Davey Rachel, Bail Kasia, Goss John R, Ambikairajah Ananthan, Lincoln Michelle, Holloway Helen, Gibson Diane

机构信息

Centre for Ageing Research and Translation, Faculty of Health, University of Canberra, Bruce, ACT 2617, Australia.

School of Rehabilitation and Exercise Sciences, Faculty of Health, University of Canberra, Bruce, ACT 2617, Australia.

出版信息

Healthcare (Basel). 2025 Feb 6;13(3):341. doi: 10.3390/healthcare13030341.

DOI:10.3390/healthcare13030341

PMID:39942530

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11817486/

Abstract

BACKGROUND

Complications due to frailty and injury after falls are a significant problem for people living in residential aged care. This can lead to a range of negative outcomes including poor physical, social, and psychological well-being. The Australian Royal Commission into Aged Care Quality and Safety highlighted many aspects of care in residential aged care homes requiring improvement, leading to specific recommendations aimed at improving the outcomes in this area. This contributed to four recommendations calling for increased allied health interventions to meet the unmet needs in residential aged care. This intervention aims to implement and evaluate evidence-based allied health interventions for people living in residential aged care specifically relating to frailty, preventing falls, and maintaining engagement in everyday activities.

METHOD

This is a pragmatic, non-randomised, pre-post design study where six groups of up to 10 residents of an aged care home will start the intervention at staggered times. The EAHOP intervention is an integrated application of a suite of allied health services (occupational therapy, physiotherapy, dietetics, speech pathology, pharmacy, and optometry), with general practitioner involvement, using allied health assistants in an integrated transdisciplinary model of care. The baseline period is 6 weeks, and intervention is a maximum of 36 weeks with follow-up at 12 and 24 weeks. Primary outcomes measure changes in falls, frailty, and quality of life. A qualitative program evaluation will be completed as well as an economic analysis.

CONCLUSION

The results of the study will provide information about the clinical, implementation, and effectiveness outcomes of this integrated, transdisciplinary allied health service model for people living in residential aged care. The results will be used to develop evidence-informed guidelines for residential aged care providers on the delivery of allied health services.

摘要

背景

对于居住在老年护理机构的人来说，因身体虚弱和跌倒受伤引发的并发症是一个重大问题。这可能导致一系列负面后果，包括身体、社交和心理健康状况不佳。澳大利亚皇家老年护理质量与安全委员会强调了老年护理机构护理工作中许多需要改进的方面，从而提出了旨在改善该领域成果的具体建议。这促成了四项建议，呼吁增加联合健康干预措施，以满足老年护理机构中未得到满足的需求。本干预措施旨在为居住在老年护理机构的人实施并评估基于证据的联合健康干预措施，特别是与身体虚弱、预防跌倒以及保持日常活动参与度相关的措施。

方法

这是一项实用的、非随机的前后设计研究，老年护理院的六组每组最多10名居民将在不同时间开始干预。EAHOP干预是一套联合健康服务（职业治疗、物理治疗、饮食学、言语病理学、药学和验光）的综合应用，有全科医生参与，采用联合健康助理，以综合跨学科护理模式进行。基线期为6周，干预最长为36周，在12周和24周进行随访。主要结果衡量跌倒、身体虚弱和生活质量方面的变化。将完成定性项目评估以及经济分析。