衰弱老年人的功能康复研究进展及对康复护理实践的启示  

Progress in research of functional rehabilitation of frail elderly people and its implication for rehabilitation nursing practice

作　　者：王晓媛[1] 阚庭 赵诺[1] 申姜琼[1] 曹丰[1,2] WANG Xiao-Yuan;KAN Ting;ZHAO Nuo;SHEN Jiang-Qiong;CAO Feng(Second Medical Center,Chinese PLA General Hospital,Beijing 100853,China;National Clinical Research Center for Geriatric Diseases,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第二医学中心,北京100853 [2]解放军总医院国家老年疾病临床医学研究中心,北京100853

出　　处：《中华老年多器官疾病杂志》2020年第9期703-708,共6页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：军队保健专项科研课题(18BJZ24)。

摘　　要：衰弱严重影响老年人健康状况和生活质量,要重视对衰弱前期的早识别、早预防,避免衰弱进展及失能。功能康复对于预防和逆转衰弱至关重要,主要方法包括运动康复、心脏康复,并逐渐扩展到肺康复和吞咽康复等方面。护理人员应当在老年人衰弱康复中发挥积极作用,建立以护理人员为主导的衰弱康复体系;立足主动健康,将康复干预关口前移,同时重点关注中重度衰弱的高龄老年人;采用综合康复护理策略,可通过互联网+照护者陪伴运动的方式提高高龄老人康复锻炼依从性和安全性。Frailty exerts serious consequences on health and quality of life of the elderly,which warrants due attention to the identification and prevention of frailty at early stage to avoid its progression and resultant disability.Functional rehabilitation is crucial for the prevention of and recovery from frailty,and the current approaches mainly include exercise rehabilitation and cardiac rehabilitation,and gradual extension to pulmonary rehabilitation and swallowing rehabilitation.Nursing staff should play an active role in frailty rehabilitation of the elderly,leading a frailty rehabilitation system,practicing proactive health,taking preventive interventions earlier,and putting more emphasis on those with moderate to severe frailty.A comprehensive strategy may be adopted for rehabilitation nursing,and a paradigm combining the Internet and caregivers′company can improve the compliance and safety of older people.

关 键 词：老年人 衰弱 功能康复 康复护理 

分 类 号：R592[医药卫生—老年医学]