健康素养在保护英语水平有限者避免跌倒中的作用：一项回顾性队列研究。

IF 3.6 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation Pub Date : 2025-01-01 DOI:10.1016/j.apmr.2024.08.011

Natalie F. Douglas PhD, CCC-SLP , Sarah E. Wallace PhD, CCC-SLP, ASHA Fellow , Chin-I Cheng PhD , Nancy Christensen Mayer MBA/HSA, CCC-SLP , Ellen Hickey PhD, SLP-Reg. (NS), CCC-SLP , Kate Minick PT, DPT, PhD

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引用次数: 0

摘要

目的在四个住院康复机构（IRF）中，使用住院康复机构患者评估工具（IRF-PAI）进行为期四个月的评估，确定与语言病理学（SLP）范围内跌倒相关的风险因素：观察性回顾队列研究设定：：四家住院康复机构（IRF），作为大型学习型医疗系统的一部分参与者：：2022年1月10日至2023年2月28日期间入住IRF的18岁及以上成人：主要结果测量：结果：：对 631 份病历进行分析后发现，与讲英语者相比，英语水平有限者跌倒的几率几乎是讲英语者的 3 倍（OR = 2.92，95% CI [1.09，6.85]）。与健康知识水平较低的英语使用者相比，英语水平有限且健康知识水平较低的人跌倒的几率要高出 4 倍（OR = 3.90，95% CI [1.13，13.44]）。英语水平有限但健康素养良好的人跌倒的风险与英语使用者相同（OR = .98，95% CI [.16，6.12]），这表明健康素养对英语水平有限的人具有保护作用：结论：语言障碍对 IRF 病人的跌倒有重大影响。提高健康素养和提供语言支持的语言康复师可在降低跌倒风险方面发挥重要作用，从而提高患者的安全和治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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A Role for Health Literacy in Protecting People With Limited English Proficiency Against Falling: A Retrospective, Cohort Study

Objective

To identify risk factors related to falls within the scope of speech-language pathology (SLP) using assessments from the Inpatient Rehabilitation Facility-Patient Assessment Instrument over a 4-month period in 4 inpatient rehabilitation facilities (IRFs).

Design

Observational retrospective cohort study.

Setting

Four IRFs as part of a larger learning health system.

Participants

Adults aged ≥18 years admitted to the IRFs from October 1, 2022 to February 28, 2023 were included.

Intervention

N/A.

Main Outcome Measures

Occurrence of falls.

Results

Analyses of 631 patient records revealed that the odds of falling were almost 3 times greater in people with limited English proficiency than in English speakers (odds ratio [OR], 2.92; 95% confidence interval [CI], 1.09-6.85). People with limited English proficiency who reported poorer health literacy had 4 times higher odds of falling (OR, 3.90; 95% CI, 1.13-13.44) than English speakers who reported adequate health literacy. People with limited English proficiency who reported adequate health literacy had the same risk of falling as English speakers (OR, 0.98; 95% CI, 0.16-6.12), suggesting the protective role of health literacy for people with limited English proficiency.

Conclusions

Language barriers have a significant effect on falls among patients in IRFs. SLPs improving health literacy and providing language support may play a crucial role in mitigating fall risk, thereby enhancing patient safety and outcomes.

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来源期刊

Archives of physical medicine and rehabilitation 医学-康复医学

CiteScore

6.20

自引率

4.70%

发文量

495

审稿时长

38 days

期刊介绍： The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.