- 期刊
- Ahead-of-Print
髖關節骨折術後病人接受急性後期復健照護對於死亡率之影響
Effects of Post-Acute Care Program in Postoperative Hip Fracture Patients on Mortality Rate
摘要
目的：此研究的目的在於探討急性後期復健照護（Post-acute care, PAC）對於髖關節骨折術後病人之死亡率有無影響。方法：此研究為一巢式病例對照研究，共收案103位於某區域醫院復健科接受髖關節骨折急性後期復健計畫之病人為研究對象之實驗組，另外自同家醫院住院資料檔中以1比4比例隨機選取與研究對象實驗組同年齡、同性別、同住院DRG類別但於髖關節骨折治療後直接出院之病人作為對照組，比較兩組病人出院後半年、一年、一年半、兩年之死亡率。結果：實驗組與對照組之兩年內死亡率並未達統計上顯著差異。結論：髖關節骨折急性後期住院計畫對於術後兩年內之死亡率並無顯著影響。
並列摘要
Purpose: We planned to evaluate the effects of post-acute recovery care program in patients with postoperative hip fracture on mortality rate. Methods: This was a nested case-control study. We enrolled 103 patients who underwent the post-acute recovery care program in a regional hospital as an experiment group. The control group was randomly selected from the same hospital's inpatient database with the same age, sex, and DRG category as the experimental group at a ratio of 1:4 but discharged directly after postoperative hip fracture. We analyzed the mortality rate at six months, one year, one and a half years, and two years after discharge and compared whether there was a significant difference between the experimental and control groups. Results: There was no significant difference in mortality rates between the experimental group and the control group. Conclusion: Post-acute care recovery program does not provide a significant mortality rate reduction in postoperative hip fracture patients within two years compared with usual care.
延伸閱讀
- 丁睿宇、陳彥方、陳慧娟、黃冠樺、高木榮（2019）。髖關節骨折急性後期復健照護之長期成效。北市醫學雜誌，16(3)，220-231。https://doi.org/10.6200/TCMJ.201909_16(3).0005
- 曹昭懿、呂文祥、陳惠雅、潘懿玲（2000）。髖關節置換手術病人術後住院期間接受物理治療之療效。物理治療，25(3)，117-125。https://www.airitilibrary.com/Article/Detail?DocID=15632555-200005-25-3-117-125-a
- Lin, S. Y., Chen, C. H., Chou, Y. Y., Weng, S. C., Lin, C. S., Lee, Y. S., & Ju, L. Y. (2017). 高齡髖關節骨折住院病患手術後活動功能恢復預測因子－前驅研究. 台灣老年醫學暨老年學雜誌, 12(1), 42-54. https://doi.org/10.29461/TGG.201702_12(1).0004
- 陳可旎（2018）。A Study on Quality of Life in Elderly Patients with Hip Fracture after Surgery〔碩士論文，義守大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0074-0602201814564800
- Widajanti, N., Syehbubakar, A. G. R. L., & Setiati, S. (2014). The Factors Associated with the Six-Months Mortality in Elderly Patients with Hip Fracture. 台灣老年醫學暨老年學雜誌, 9(2), 57-57(2). https://www.airitilibrary.com/Article/Detail?DocID=20719833-201405-201502020050-201502020050-57-57(2)