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題名 | 中期照護在急性入院醫療後為病患復原創造之偶然力效應--以社區醫院照護模式為例=Serendipity-creating Effect by Intermediate-care for Patients after Acute Hospitalization Care--Based on Medical Care Provided by Community Hospital |
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作者 | 邱奕綺; 許建仁; 李元彬; 葛光中; 李聲吼; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷期 | 8:2 2013.05[民102.05] |
頁次 | 頁90-105 |
分類號 | 419.76 |
關鍵詞 | 中期照護; 偶然力; 周全性老年評估量表; Intermediate care; Serendipity; Comprehensive geriatric assessment; |
語文 | 中文(Chinese) |
中文摘要 | 目的:探究社區醫院推動中期照護模式,對於整體臨床照護上,所形成的偶然力(serendipity)效應。方法:本研究採用周全性老年評估量表(comprehensive geriatric assessment, CGA)為基測,用以評估偶然力指數,各項檢測指數包含:(A)活用大腦、(B)當機立斷、(C)個人資產、(D)人際關係等四個構面。結果:從2009年2月至2012年3月共收集283例,排除23例轉介急性醫療之個案,以及資料不完整65例後,共計195例選入為本次探究之對象,參與者平均年齡為80.4±11.5歲。(A)活用大腦(GDS由1.62±2.1分進步到0.55±1.1分、MMSE22.30±4.0分進步為24.89±3.2分);(B)當機立斷(TUG從26.05±5.3分進步到20.35±6.1分、NRS則是從1.43±2.0分進步到0.50±0.9分);(C)個人資產(BI由50.59±17.5分進步到72.95±16.4分、MNA從10.33±1.8分進步到22.67±2.3分);(D)人際關係(IADL從1.84±1.6分提升到3.33±2.1分)。結論:照護團隊以中期照護模式介入患者後急性治療,從施測的各項功能評估中,顯示對患者的偶然力評值均有顯著之成效。中期照護可被期待為具有高附加價值之照護模式。 |
英文摘要 | Objectives: Assess the serendipity index of inter-mediate care on clinical care in a community hospital.Method: The fundamental assessment was based on the comprehensive geriatric assessment (CGA) to achieve the serendipity index. The global evaluation was composed of brain activation, prompt response, re-building personal ability, and restoration of public relationship.Results: Two hundred and eighty-three patients were admitted after acute managements at other hospitals from February 2009 to March 2012. One hundred and ninety-five subjects were enrolled in this study of inter-mediate care program after excluding 23 patients undertaking further aggressive medical treatments and 65 patients without complete follow-up data. Their mean age was 80.4±11.5 years old. The improvement of serendipity index showed (A) Brain activation (GDS from 1.62±2.1 to 0.55±1.1, MMSE from 22.30±4.0 to 24.89±3.2); (B) Prompt response (TUG from 26.05±5.3 to 20.35±6.1, NRS from 1.43±2.0 to 0.50±0.9); (C) re-building personal ability, (BI from 50.59±17.5 to 72.95±16.4, MNA from 10.33±1.8 to 22.67±2.3), and (D) restoration of social relationship (IADL from 1.84±1.6 to 3.33±2.1).Conclusions: The inter-mediate care after acute management was conducted by a care team. The serendipity index of four dimensions was elevated, including brain activation, prompt response, re-building personal ability, and restoration of social relationship. Post-acute inter-mediate care could be expected to be a high value-added care Model. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。