老年患者髋部骨折后出院的挑战-功能结局

Rashmi Yadav, P. Chawla, Ritabh Kumar
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摘要

本研究的目的是了解老年髋部骨折患者及其护理人员在出院后所面临的挑战。我们对65例老年髋部骨折手术患者的档案进行了评估,并在3周的时间内通过电话交谈收集了53例患者的反馈。使用EQ-5D生活质量工具对患者及其护理人员的反馈进行评估,并指出他们面临的挑战。老年人中最常见的骨折发生在手腕、脊柱和髋部。老年人髋部骨折一般发生在单纯的跌倒之后。如果不及时提供医疗护理或不采取适当的护理,患者在髋部骨折后的未来是肯定的-生活质量急剧下降,可能开始结束生命。本研究的目的是评估老年髋部骨折患者手术后的预后以及他们出院后所经历的挑战。共有53名患者在印度脊柱损伤中心接受了髋关节手术。这是一项描述性研究,为期13个月,从2019年8月到2020年8月。EQ-5D用于描述患者当前的健康状况。它由五个域和一个视觉模拟分数组成。通过电话收集患者及其护理人员的反馈,随访时间至少为3个月。每个患者单独计算VAS评分。收集的数据在MS Excel表格中输入。记录了患者及其护理人员所面临的挑战。53例患者中,12例死亡(22.6%),07例患者自行应答,34例患者由护理人员应答。股骨粗隆间骨折30例,占56.6%;股骨颈骨折13例,占24.5%。平均每位患者至少患有两种合并症。平均住院时间为6.8天。这项研究表明,包括老年医生在内的综合护理在术前优化患者应立即付诸实践。术后康复的作用是无价的,但往往被低估的模式。病人及其家属对出院后家庭护理的担忧是真实的,需要得到解决。信息共享是减少焦虑的关键。私营机构和政府当局必须考虑成本效益高的降压设施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Challenges in discharging elderly patients post hip fracture – Functional outcomes
The purpose of this study is to realize the challenges experienced by elderly patients with hip fracture and their caregivers after discharge. A total of 65 files of elderly hip fracture operated patients were assessed and out of them responses from 53 patients collected through telephonic conversation over a period of 3 weeks. The responses received from the patient and their attendants were evaluated using the EQ-5D quality of life tool and their challenges noted. The most common fractures reported in the elderly are at the wrist, spine and hip. Hip fractures in elderly generally occur after a simple fall. If timely medical attention is not provided or appropriate care not taken the future of the patient after a hip fracture is certain – a dramatic reduction in the quality of life and possibly the beginning of the end of life. The purpose of this study is to evaluate the outcomes of elderly patients with hip fracture following surgery and the challenges they experienced after discharge from the hospital. A total of 53 patients were selected for the study who underwent hip surgery at Indian Spinal Injuries Centre. This is a descriptive study carried over a period of 13 months from August 2019 to August 2020. EQ-5D is used to characterize current health status of the patients. It consists of five domains and a visual analogue score. Feedback was collected from the patients and their attendants over telephone with a minimum follow up of 3 months. VAS score was calculated for every patient individually. Collected data was entered in MS Excel sheet. Challenges faced by the patients and their caregivers were documented. Out of 53 patients, 12 had died (22.6%), 07 patients responded themselves to the call and 34 calls were responded by the care givers. Most of the patients had intertrochanteric fractures 56.6% (30 patients) followed by neck femur fracture 24.5% (13 patients). On average every patient was suffering from a minimum of two comorbidities. The average length of hospitalization was 6.8 days. : This study suggests that integrated care involving geriatricians in pre-operative optimization of the patient should come in immediate practice. The role of post-surgery rehabilitation is invaluable but often an underestimated modality. The concerns of the patients and their family members regarding home care after discharge are genuine and need to be addressed. Information sharing is the key to reducing anxiety. Consideration for a cost-effective step-down facility must be considered by private institutes and government authorities.
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