Brett Lindsey, Collins Angela, Lemsing Kylie, Poulos Christopher J
Centre for Positive Ageing, HammondCare, Hammondville, NSW, Australia.
School of Population Health, UNSW, Sydney, NSW, Australia.
BMC Health Serv Res. 2025 Apr 29;25(1):616. doi: 10.1186/s12913-025-12771-0.
Restorative care is a goal-oriented, time-limited, multidisciplinary approach to address functional decline in older adults. Within Australia, one form of restorative care available to community-dwelling older adults is the Short-Term Restorative Care (STRC) Programme. Australian government expenditure on such services is high, yet research on programme outcomes is scarce. The primary aim of this study was to provide a descriptive analysis of STRC participant and outcome data from clients' first STRC episode with a large, aged care provider in New South Wales (NSW), Australia. Secondary aims were: (i) examine any associations between client demographic and outcome measures routinely collected, and (ii) consider the suitability for broader sector use of the clinical and outcome measures routinely collected by the provider.
A retrospective, cohort study of STRC client data routinely collected between 1 March 2021 and 28 February 2023 from a large, not-for-profit aged care provider in NSW, Australia. Client demographic data and routinely used clinical and outcome measures (modified Barthel Index, Mini Nutritional Assessment short form, Clinical Frailty Scale, Patient-Reported Outcomes Measurement Information System 10-Question short form - global health, and Goal Attainment Scale light) were collected. Descriptive and inferential analyses were completed to explore available data.
Four hundred and eighty-four STRC clients were included in this study. The mean age of clients was 81.5 (7.6) and majority were female (56%), born in Australia (49%), had a normal nutritional status on entry (54%), and classified as either pre-frail or mildly frail on entry (66%). The modified Barthel Index, Patient-Reported Outcomes Measurement Information System 10-Question short form - global health, and Goal Attainment Scale light all showed statistically significant improvements. Almost all clients remaining in their own home after exit of the STRC Programme (99%).
This study looked at detailed data from the STRC Programme in Australia with a large sample over multiple years from a single aged care provider, and the findings suggest it is an effective program for older adults. The data provide insights into different clinical and outcome measures used, identify those that work well with this population, and those that need further consideration.
恢复性护理是一种针对老年人功能衰退的以目标为导向、有时间限制的多学科方法。在澳大利亚，社区居住的老年人可获得的一种恢复性护理形式是短期恢复性护理（STRC）计划。澳大利亚政府对此类服务的支出很高，但关于该计划结果的研究却很少。本研究的主要目的是对澳大利亚新南威尔士州（NSW）一家大型老年护理机构中客户首次接受STRC服务期间的参与者和结果数据进行描述性分析。次要目的是：（i）检查常规收集的客户人口统计学数据与结果指标之间的任何关联，以及（ii）考虑该机构常规收集的临床和结果指标在更广泛领域使用的适用性。
对2021年3月1日至2023年2月28日期间从澳大利亚新南威尔士州一家大型非营利性老年护理机构常规收集的STRC客户数据进行回顾性队列研究。收集了客户人口统计学数据以及常规使用的临床和结果指标（改良巴氏指数、简易营养评估简表、临床衰弱量表、患者报告结局测量信息系统10项简表 - 总体健康状况，以及目标达成量表轻量版）。完成了描述性和推断性分析以探索可用数据。
本研究纳入了484名STRC客户。客户的平均年龄为81.5岁（7.6岁），大多数为女性（56%），出生在澳大利亚（49%），入院时营养状况正常（54%），入院时被归类为虚弱前期或轻度虚弱（66%）。改良巴氏指数、患者报告结局测量信息系统10项简表 - 总体健康状况，以及目标达成量表轻量版均显示出统计学上的显著改善。几乎所有客户在STRC计划结束后仍居住在自己家中（99%）。
本研究查看了来自澳大利亚STRC计划的详细数据，样本量大且来自单一老年护理机构的多年数据，研究结果表明该计划对老年人有效。这些数据提供了对所使用的不同临床和结果指标的见解，确定了哪些指标适用于该人群，以及哪些指标需要进一步考虑。
