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| 題 名 | 急性後期照護對住院衰弱老人功能恢復的影響=The Impact of Post-Acute Care on Functional Recovery in Hospitalized Frail Older Adults |
|---|---|
| 作 者 | 李姵樺; 劉鶴群; | 書刊名 | 臺灣健康照顧研究學刊 |
| 卷 期 | 31 2025.01[民114.01] |
| 頁 次 | 頁32-48 |
| 分類號 | 419.821 |
| 關鍵詞 | 急性後期照護; 衰弱老人; 日常生活功能; 功能恢復; 長期照顧政策; Post-acute care; Frail older adults; Activities of daily living; Functional recovery; Long-term care policy; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本研究探討急性後期照護(Post-Acute Care, PAC)對住院衰弱老人日常生活功能(Activities of Daily Living, ADL)恢復的影響,檢視接受急性後期照護的病人相較於未接受者,在生活功能恢復與生活品質方面是否有更顯著的改善。研究以臺灣中部某醫學中心的161位住院病人為對象,其中29位參與PAC計畫,132位未參與。結果顯示,參與PAC組病人在出院及出院三個月後的ADL分數顯著高於未參與組,顯示急性後期照護在長期功能恢復方面具顯著成效。PAC提供整合性復健與個人化照護,針對住院衰弱老人的特殊需求,減少住院後失能及提升生活品質。研究也指出,早期介入與持續復健是功能恢復的關鍵。儘管研究具體呈現了PAC的效果,但受限於樣本量小、追蹤時間短及回溯性設計,建議未來擴大樣本量並延長追蹤時間,以提升結果的普遍性與代表性。此外,政策層面應加速長期照顧安排假立法,以減輕家庭照顧者壓力,促進病人康復。 |
| 英文摘要 | This study investigates the impact of post-acute care (PAC) on the recovery of activities of daily living (ADL) among hospitalized frail older adults, examining whether patients who receive PAC demonstrate greater improvements in functional recovery and quality of life compared to those who do not. A total of 161 inpatients from a medical center in central Taiwan were enrolled, with 29 participating in a PAC program and 132 serving as controls. The results indicate that the PAC group achieved significantly higher ADL scores both at discharge and three months post-discharge than the non-PAC group, underscoring the substantial long-term benefits of PAC in functional restoration. PAC delivers integrated rehabilitation and personalized care tailored to the specific needs of hospitalized frail elders, effectively reducing post-hospitalization disability and enhancing quality of life. The findings also highlight that early intervention and sustained rehabilitation are critical for optimal functional recovery. While the study clearly demonstrates the efficacy of PAC, its generalizability is limited by the small sample size, short follow-up period, and retrospective design. Future research should involve larger samples and longer follow-up to improve the robustness and representativeness of the findings. From a policy perspective, accelerating the legislation for long-term care leave is recommended to alleviate the burden on family caregivers and further support patient recovery. |
本系統中英文摘要資訊取自各篇刊載內容。