Comprehensive Geriatric Assessment, Multidisciplinary Treatment, and Nurse-Guided Transitional Care in Hospitalized Older Adults: A Randomized Controlled Trial.

IF 1.1 4区 医学 Q3 NURSING Research in Gerontological Nursing Pub Date : 2023-09-01 Epub Date: 2023-06-16 DOI:10.3928/19404921-20230606-03
Xueshuang Liu, Li Song, Shuqin Xiao, Yu Wang
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Abstract

The current study evaluated the effect of comprehensive geriatric assessment (CGA) and multidisciplinary treatment followed by a nurse-guided transitional care bridge program in 100 hospitalized older adults. In the intervention group, CGA and multidisciplinary care were performed. The control group was provided with guideline-associated treatment. Study outcomes comprised the 6-month Katz Index of Independence in Activities of Daily Living (ADL) score, Lawton Instrumental ADL (IADL) score, and unplanned hospital readmission rate. There were no differences in mean 6-month Katz ADL scores between intervention and control groups; however, significant differences were found between groups in IADL score and unplanned hospital readmission rate. CGA followed by nurse-guided transitional care stabilized patients' IADL score and improved hospital readmission rate. The current results informed that combining CGA with multidisciplinary continuous nursing is an effective and feasible working pattern; however, more exploratory work is needed. [Research in Gerontological Nursing, 16(5), 224-230.].

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住院老年人的综合老年评估、多学科治疗和护士指导的过渡期护理:一项随机对照试验。
目前的研究评估了在100名住院老年人中进行老年综合评估(CGA)和多学科治疗以及护士指导的过渡期护理桥接计划的效果。在干预组中,进行CGA和多学科护理。对照组接受指南相关治疗。研究结果包括6个月的日常生活活动独立性卡茨指数(ADL)评分、劳顿工具性ADL(IADL)评分和计划外住院率。干预组和对照组之间的平均6个月Katz ADL评分没有差异;然而,在IADL评分和计划外住院率方面,各组之间存在显著差异。CGA配合护士指导的过渡期护理稳定了患者的IADL评分,提高了住院率。目前的研究结果表明,CGA与多学科连续护理相结合是一种有效可行的工作模式;然而,还需要更多的探索性工作。[老年护理研究,16(5),224-230。
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来源期刊
CiteScore
2.30
自引率
6.20%
发文量
44
审稿时长
>12 weeks
期刊介绍: Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.
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