教師資料查詢 | 類別: 期刊論文 | 教師: 王彥雯 WANG, CHARLOTTE (瀏覽個人網頁)

標題:Functional Trajectory 6 Months Posthospitalization: A Cohort Study of Older Hospitalized Patients in Taiwan.
學年96
學期2
出版(發表)日期2008/04/30
作品名稱Functional Trajectory 6 Months Posthospitalization: A Cohort Study of Older Hospitalized Patients in Taiwan.
作品名稱(其他語言)
著者Cheryl Chia-Hui Chen; Charlotte Wang; Guan-Hua Huang
單位
出版者
著錄名稱、卷期、頁數Nursing Research 57(2), pp.93–100
摘要Background:
Although it is well-recognized that hospitalization often precipitates functional decline in older patients, there have been few studies to examine these functional changes carefully over multiple points in time.

Objective:
To describe functional trajectory during and 6 months posthospitalization and to ascertain the predictors that signal different classes of functional trajectory, using latent class analysis.

Methods:
A cohort study was conducted on 286 older hospitalized patients who were admitted to five surgical-medical units at a tertiary medical center in Northern Taiwan. Results are reported of 241 participants who completed all four scheduled assessments during hospitalization (within 48 hr after admission and before discharge) and 3 and 6 months postdischarge. Functional trajectory was measured using the Barthel index over four time points, and decline was defined as a reduction on the Barthel index scores. Demographics, comorbidities, visual impairment, medications taken, cognitive status, nutritional status, oral health, depressive symptoms, social support, surgical diagnosis, and length of stay were assessed as the predictors of functional trajectory classes.

Results:
Most (74.3%) participants developed functional decline during hospitalization, and 32.0% had persistent functional impairment at 6 months posthospitalization. Three functional trajectory classes (good, moderate, and poor) were identified, and gender, age, comorbidities, cognitive status, nutritional status, oral health status, and length of stay were associated with different trajectory classes.

Conclusion:
Visualizing different classes of functional trajectory and studying predictors that signal such differences during and posthospitalization help practitioners understand how function changed and the possible ways to intervene.
關鍵字
語言英文
ISSN1351-5578;2047-8992
期刊性質國外
收錄於SCI;
產學合作
通訊作者
審稿制度
國別英國
公開徵稿
出版型式,電子版,紙本
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