{"title":"农村老年人住院虚弱及活动能力对住院时间和出院处理的影响。","authors":"Jessica B Buckner, Christine Sump","doi":"10.3928/00989134-20250401-01","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To determine the prevalence of frailty among individuals aged ≥65 years with heart failure and/or chronic obstructive pulmonary disease, and if there was a difference in length of stay (LOS) and/or discharge disposition in individuals who mobilized daily versus those who did not.</p><p><strong>Method: </strong>Thirty-five individuals were screened using the FRAIL Scale. A retrospective chart review was performed for participants with frailty, assessing residential location on admission and discharge, LOS, and daily mobilization during hospitalization.</p><p><strong>Results: </strong>Participants were categorized as robust (<i>n</i> = 1, 2.9%), pre-frail (<i>n</i> = 15, 42.9%), and frail (<i>n</i> = 19, 54.3%). Mean LOS for those who mobilized daily (<i>n</i> = 12) was 2.33 and 4.71 for those who did not mobilize daily (<i>p</i> = 0.028). A lower percentage of participants who mobilized (16.7%) required higher levels of care at discharge versus those who did not mobilize (42.9%, <i>p</i> = 0.067).</p><p><strong>Conclusion: </strong>Early recognition of frailty may provide opportunities to implement mobility programs to decrease LOS and ensure these individuals remain at functional baseline. [<i>Journal of Gerontological Nursing, 51</i>(6), 13-16.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"13-16"},"PeriodicalIF":1.1000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Frailty in Hospitalized Older Adults in the Rural Setting and Impact of Mobility on Length of Stay and Discharge Disposition.\",\"authors\":\"Jessica B Buckner, Christine Sump\",\"doi\":\"10.3928/00989134-20250401-01\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To determine the prevalence of frailty among individuals aged ≥65 years with heart failure and/or chronic obstructive pulmonary disease, and if there was a difference in length of stay (LOS) and/or discharge disposition in individuals who mobilized daily versus those who did not.</p><p><strong>Method: </strong>Thirty-five individuals were screened using the FRAIL Scale. A retrospective chart review was performed for participants with frailty, assessing residential location on admission and discharge, LOS, and daily mobilization during hospitalization.</p><p><strong>Results: </strong>Participants were categorized as robust (<i>n</i> = 1, 2.9%), pre-frail (<i>n</i> = 15, 42.9%), and frail (<i>n</i> = 19, 54.3%). Mean LOS for those who mobilized daily (<i>n</i> = 12) was 2.33 and 4.71 for those who did not mobilize daily (<i>p</i> = 0.028). A lower percentage of participants who mobilized (16.7%) required higher levels of care at discharge versus those who did not mobilize (42.9%, <i>p</i> = 0.067).</p><p><strong>Conclusion: </strong>Early recognition of frailty may provide opportunities to implement mobility programs to decrease LOS and ensure these individuals remain at functional baseline. [<i>Journal of Gerontological Nursing, 51</i>(6), 13-16.].</p>\",\"PeriodicalId\":15848,\"journal\":{\"name\":\"Journal of gerontological nursing\",\"volume\":\" \",\"pages\":\"13-16\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of gerontological nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3928/00989134-20250401-01\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/24 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of gerontological nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/00989134-20250401-01","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/24 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Frailty in Hospitalized Older Adults in the Rural Setting and Impact of Mobility on Length of Stay and Discharge Disposition.
Purpose: To determine the prevalence of frailty among individuals aged ≥65 years with heart failure and/or chronic obstructive pulmonary disease, and if there was a difference in length of stay (LOS) and/or discharge disposition in individuals who mobilized daily versus those who did not.
Method: Thirty-five individuals were screened using the FRAIL Scale. A retrospective chart review was performed for participants with frailty, assessing residential location on admission and discharge, LOS, and daily mobilization during hospitalization.
Results: Participants were categorized as robust (n = 1, 2.9%), pre-frail (n = 15, 42.9%), and frail (n = 19, 54.3%). Mean LOS for those who mobilized daily (n = 12) was 2.33 and 4.71 for those who did not mobilize daily (p = 0.028). A lower percentage of participants who mobilized (16.7%) required higher levels of care at discharge versus those who did not mobilize (42.9%, p = 0.067).
Conclusion: Early recognition of frailty may provide opportunities to implement mobility programs to decrease LOS and ensure these individuals remain at functional baseline. [Journal of Gerontological Nursing, 51(6), 13-16.].
期刊介绍：
The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.
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