住院患者老年綜合征管理策略_West China Medical Journal

Authors：

 蒲麗輝 ^1,2 , 劉祚燕 ³ ,  胡秀英 ¹

1. ;
2. ;
3. ;

Corresponding?author：

胡秀英, Email: xiuying.hu@163.com

Keywords：

老年綜合征; 住院; 管理

DOI：

10.7507/1002-0179.20140660

Video：

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隨著世界人口老齡化，老年綜合征的認知與管理問題日顯突出。老年綜合征是老年患者不良結局的影響因素，嚴重影響著老年人群的生活質量。提高對老年綜合征的認知，加強對老年綜合征評估方法的研究，建立老年綜合征規范化干預措施，通過安全管理、健康教育、制定流程等措施對住院患者進行管理，針對性地做好預防應對策略，有助于為提高老年人的預后與生活質量提供依據。

Citation： 蒲麗輝, 劉祚燕, 胡秀英. 住院患者老年綜合征管理策略. West China Medical Journal, 2014, 29(11): 2187-2190. doi: 10.7507/1002-0179.20140660 Copy

1.	Harris T, Kovar MG, Suzman R, et al. Longitudinal study of physical ability in the oldest-old[J]. Am J Public Health, 1989, 79(6):698-702.
2.	De Rooij S, van Sandwijk MS, Bemelman FJ, et al. You only notice them if you understand them:geriatric syndromes[J]. Netherl J Med, 2013, 71(6):278-280.
3.	Laditka JN. Hazards of hospitalization for ambulatory care sensitive conditions among older women:evidence of greater risks for African Americans and Hispanics[J]. Med Care Res Rev, 2003, 60(4):468-495.
4.	Xue QL, Fried LP, Glass TA, et al. Life-space constriction, development of frailty, and the competing risk of mortality, the Women's Health and Aging StudyⅠ[J]. Am J Epidemiol, 2008, 167(2):240-248.
5.	Branch LG, Katz S, Kniepmann K, et al. A prospective study of functional status among community elders[J]. Am J Public Health, 1984, 74(3):266-268.
6.	Shamliyan T, Talley K, Ramakrishnan R, et al. Association of frailty with survival:a systematic literature review[J]. Ageing Res Rev, 2013, 12(2):719-736.
7.	Chandra A, North F, Hanson G J, et al. Geriatric syndromes as predictors of one-year mortality in an outpatient practice[J]. Eur Geriatr Med, 2013, 4(Suppl 1):S190.
8.	Rosen SL, Reuben DB. Geriatric assessment tools[J]. Mt Sinai J Med, 2011, 78(4):489-497.
9.	Inouye SK, Studenski S, Tinetti ME, et al. Geriatric syndromes:clinical, research, and policy implications of a core geriatric concept[J]. J Am Geriatr Soc, 2007, 55(5):780-791.
10.	Rikkert MGM, Rigaud AS, Van Hoeyweghen RJ, et al. Geriatric syndromes:medical misnomer or progress in geriatrics[J]. Netherl J Med, 2003, 61(3):83-87.
11.	Wang SY, Tatyana A, Shamliyan KMCT, et al. Not just specific diseases:systematic review of the association of geriatric syndromes with hospitalization or nursing home admission[J]. Arch Gerontol Geriatr, 2013, 57(1):16-26.
12.	劉祚燕, 龍納, 淳雪麗, 等. 老年綜合征評價量表的性能實測分析[J]. 護理研究·上旬版, 2013, 27(6):1653-1655.
13.	Anpalahan M, Gibson SJ. Geriatric syndromes as predictors of adverse outcomes of hospitalization[J]. Int Med J, 2008, 38(1):16-23.
14.	Kane RL, Shamliyan T, Talley K, et al. The association between geriatric syndromes and survival[J]. J Am Geriatr Soc, 2012, 60(5):896-904.
15.	Piotrowicz K, Skalska A, Klich-R?czka A, et al. The prevalence of geriatric syndromes among the elderly population of PolSenior Project[J]. Eur Geriatr Med, 2013, 4(Suppl 1):S81.
16.	Tinetti ME, Inouye SK, Gill TM, et al. Shared risk factors for falls, incontinence, and functional dependence:unifying the approach to geriatric syndromes[J]. JAMA, 1995, 273(17):1348-1353.
17.	Flacker JM. What is a geriatric syndrome anyway?[J]. J Am Geriatr Soc, 2003, 51(4):574-576.
18.	陳崢. 老年綜合征管理指南[M]. 北京:中國協和醫科大學出版社, 2010:5-15.
19.	劉祚燕, 胡秀英, 龍納. 老年綜合征及其評估工具的研究現狀[J]. 護士進修雜志, 2012, 27(16):1456-1458.
20.	劉祚燕, 胡秀英, 吳琳娜, 等. 老年綜合征評價指標體系的初步構建[J]. 中國實用護理雜志, 2012, 28(34):61-64.
21.	孫倩倩, 王雙. 老年綜合評估的臨床應用及研究進展[J]. 中國老年學雜志, 2012, 32(3):660-662.
22.	萬朝暉, 丁群芳. 老年綜合評估的應用描述[J]. 中國全科醫學, 2010, 7(13):2181-2186.
23.	Wallace M, Fulmer T. Fulmer SPICES:an overall assessment tool of older adults[J]. Insight, 1999, 24(1):12-13.
24.	Fulmer T. How to try this:Fulmer SPICES[J]. AmJ Nurs, 2007, 107(10):40-48.
25.	項丹妮, 俞卓偉, 鄭松柏, 等. 社區家庭照護患者的老年綜合征研究[J]. 老年醫學與保健, 2013, 19(2):108-111.
26.	Inouye SK, Bogardus Jr ST, Baker DI, et al. The Hospital Elder Life Program:a model of care to prevent cognitive and functional decline in older hospitalized patients. Hospital Elder Life Program[J]. J Am Geriatr Soc, 2000, 48(12):1697-1706.
27.	Rubin FH, Williams JT, Lescisin DA, et al. Replicating the Hospital Elder Life Program in a community hospital and demonstrating effectiveness using quality improvement methodology[J]. J Am Geriatr Soc, 2006, 54(6):969-974.
28.	Bradley EH, Webster TR, Baker D, et al. After adoption:sustaining the innovation a case study of disseminating the Hospital Elder Life Program[J]. J Am Geriatrs Soc, 2005, 53(9):1455-1461.
29.	Flood KL, Carroll MB, Le CV, et al. Geriatric syndromes in elderly patients admitted to an oncology:acute care for elders unit[J]. J Clin Oncol, 2006, 24(15):2298-2303.
30.	Chang HH, Tsai SL, Chen CY, et al. Outcomes of hospitalized elderly patients with geriatric syndrome:report of a community hospital reform plan in Taiwan[J]. Arch Gerontol Geriatr, 2010, 50(Suppl 1):S30-S33.

1. Harris T, Kovar MG, Suzman R, et al. Longitudinal study of physical ability in the oldest-old[J]. Am J Public Health, 1989, 79(6):698-702.
2. De Rooij S, van Sandwijk MS, Bemelman FJ, et al. You only notice them if you understand them:geriatric syndromes[J]. Netherl J Med, 2013, 71(6):278-280.
3. Laditka JN. Hazards of hospitalization for ambulatory care sensitive conditions among older women:evidence of greater risks for African Americans and Hispanics[J]. Med Care Res Rev, 2003, 60(4):468-495.
4. Xue QL, Fried LP, Glass TA, et al. Life-space constriction, development of frailty, and the competing risk of mortality, the Women's Health and Aging StudyⅠ[J]. Am J Epidemiol, 2008, 167(2):240-248.
5. Branch LG, Katz S, Kniepmann K, et al. A prospective study of functional status among community elders[J]. Am J Public Health, 1984, 74(3):266-268.
6. Shamliyan T, Talley K, Ramakrishnan R, et al. Association of frailty with survival:a systematic literature review[J]. Ageing Res Rev, 2013, 12(2):719-736.
7. Chandra A, North F, Hanson G J, et al. Geriatric syndromes as predictors of one-year mortality in an outpatient practice[J]. Eur Geriatr Med, 2013, 4(Suppl 1):S190.
8. Rosen SL, Reuben DB. Geriatric assessment tools[J]. Mt Sinai J Med, 2011, 78(4):489-497.
9. Inouye SK, Studenski S, Tinetti ME, et al. Geriatric syndromes:clinical, research, and policy implications of a core geriatric concept[J]. J Am Geriatr Soc, 2007, 55(5):780-791.
10. Rikkert MGM, Rigaud AS, Van Hoeyweghen RJ, et al. Geriatric syndromes:medical misnomer or progress in geriatrics[J]. Netherl J Med, 2003, 61(3):83-87.
11. Wang SY, Tatyana A, Shamliyan KMCT, et al. Not just specific diseases:systematic review of the association of geriatric syndromes with hospitalization or nursing home admission[J]. Arch Gerontol Geriatr, 2013, 57(1):16-26.
12. 劉祚燕, 龍納, 淳雪麗, 等. 老年綜合征評價量表的性能實測分析[J]. 護理研究·上旬版, 2013, 27(6):1653-1655.
13. Anpalahan M, Gibson SJ. Geriatric syndromes as predictors of adverse outcomes of hospitalization[J]. Int Med J, 2008, 38(1):16-23.
14. Kane RL, Shamliyan T, Talley K, et al. The association between geriatric syndromes and survival[J]. J Am Geriatr Soc, 2012, 60(5):896-904.
15. Piotrowicz K, Skalska A, Klich-R?czka A, et al. The prevalence of geriatric syndromes among the elderly population of PolSenior Project[J]. Eur Geriatr Med, 2013, 4(Suppl 1):S81.
16. Tinetti ME, Inouye SK, Gill TM, et al. Shared risk factors for falls, incontinence, and functional dependence:unifying the approach to geriatric syndromes[J]. JAMA, 1995, 273(17):1348-1353.
17. Flacker JM. What is a geriatric syndrome anyway?[J]. J Am Geriatr Soc, 2003, 51(4):574-576.
18. 陳崢. 老年綜合征管理指南[M]. 北京:中國協和醫科大學出版社, 2010:5-15.
19. 劉祚燕, 胡秀英, 龍納. 老年綜合征及其評估工具的研究現狀[J]. 護士進修雜志, 2012, 27(16):1456-1458.
20. 劉祚燕, 胡秀英, 吳琳娜, 等. 老年綜合征評價指標體系的初步構建[J]. 中國實用護理雜志, 2012, 28(34):61-64.
21. 孫倩倩, 王雙. 老年綜合評估的臨床應用及研究進展[J]. 中國老年學雜志, 2012, 32(3):660-662.
22. 萬朝暉, 丁群芳. 老年綜合評估的應用描述[J]. 中國全科醫學, 2010, 7(13):2181-2186.
23. Wallace M, Fulmer T. Fulmer SPICES:an overall assessment tool of older adults[J]. Insight, 1999, 24(1):12-13.
24. Fulmer T. How to try this:Fulmer SPICES[J]. AmJ Nurs, 2007, 107(10):40-48.
25. 項丹妮, 俞卓偉, 鄭松柏, 等. 社區家庭照護患者的老年綜合征研究[J]. 老年醫學與保健, 2013, 19(2):108-111.
26. Inouye SK, Bogardus Jr ST, Baker DI, et al. The Hospital Elder Life Program:a model of care to prevent cognitive and functional decline in older hospitalized patients. Hospital Elder Life Program[J]. J Am Geriatr Soc, 2000, 48(12):1697-1706.
27. Rubin FH, Williams JT, Lescisin DA, et al. Replicating the Hospital Elder Life Program in a community hospital and demonstrating effectiveness using quality improvement methodology[J]. J Am Geriatr Soc, 2006, 54(6):969-974.
28. Bradley EH, Webster TR, Baker D, et al. After adoption:sustaining the innovation a case study of disseminating the Hospital Elder Life Program[J]. J Am Geriatrs Soc, 2005, 53(9):1455-1461.
29. Flood KL, Carroll MB, Le CV, et al. Geriatric syndromes in elderly patients admitted to an oncology:acute care for elders unit[J]. J Clin Oncol, 2006, 24(15):2298-2303.
30. Chang HH, Tsai SL, Chen CY, et al. Outcomes of hospitalized elderly patients with geriatric syndrome:report of a community hospital reform plan in Taiwan[J]. Arch Gerontol Geriatr, 2010, 50(Suppl 1):S30-S33.

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