預防住院高齡者身體功能衰退之臨床運動方案

Exercise Management Program in Prevention of Functional Decline in Hospitalized Elderly Patients: An Evidence-Based Approach

黃楷雯(Kai-Wen Huang) ； 胡芳文(Fang-Wen Hu) ； 張家銘(Chia-Ming Chang) ； 陳清惠(Ching-Huey Chen)

《志為護理-慈濟護理雜誌》 13卷5期 (2014/10) Pp. 66-75

摘要

高齡者住院期間常因活動受限或住院引發的合併症等，經常導致身體功能衰退，進而延長住院天數與增加死亡的風險。近來，學者們建議提供預防功能衰退運動計畫來延緩因住院所引發一連串身體功能之衰退。本文即透過文獻回顧，利用實證資料為基礎，建構住院高齡者預防功能衰退的運動方案。於住院高齡者運動前，先執行完整危險性評估；接著，針對住院高齡者身體功能做分級評估，依其功能給予適當的運動介入。有鑒於護理師為高齡者接觸最多的專業照護人員，故期望藉此運動方案，提升臨床護理人員預防住院高齡者身體功能衰退的能力，以期提供住院高齡者更適切的照護。

關鍵字

住院高齡者 ； 功能衰退 ； 運動

並列摘要

Lack of regular physicial activity or other hospital-acquired complications often cause functional decline, which in turn could further increase mortality and length of hospital stay in hospitalized elderly patients. A number of recent studies suggest that providing exercise program to hospitalized elderly patients help prevent functional decline during hospitalization. The purpose of this article is to review relevant studies focusing on exercise program and to set up an exercise protocol for prevention of functional decline among hospitalized elderly patients. The protocol starts with risk assessment. Physical function of elderly patients was then assessed. The personalized exercise prescription was given accordingly. Nurses play a crucial role in the process due to frequent one-to-one interactions with the hospitalized elderly patients. This proposed protocol may be helpful in providing optimal care for the hospitalized elderly patients.

並列關鍵字

exercise ； functional decline ； hospitalized elderly patients