基于interRAI衰弱老年人多学科团队管理的效果研究  

Effect of multi-disciplinary team management for frail elderly based on interRAI

作　　者：薄琳 赖小星 朱宏伟 谢海雁 霍晓鹏[2] BO Lin;LAI Xiao-xing;ZHU Hong-wei;XIE Hai-yan;HUO Xiao-peng(Department of Health Care,Chinese Academy of Medical Sciences,Peking Union Medical College Hospital,Beijing 100730,China;Department of Nursing,Chinese Academy of Medical Sciences,Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院保健医疗部,北京市100730 [2]中国医学科学院北京协和医院护理部,北京市100730

出　　处：《实用老年医学》2021年第8期883-886,共4页Practical Geriatrics

基　　金：国家自然科学基金资助项目(71904206);中央高校基本科研业务费专项资金资助项目(3332019039);第六期中央保健科研课题(W2017BJ20)。

摘　　要：目的探讨基于interRAI的多学科团队管理对老年衰弱病人的改善效果。方法便利抽样,选择北京协和医院2019年1~12月收治的老年衰弱病人64例,随机数字表法分为对照组和干预组,每组32例。对照组给予常规照护,干预组在对照组基础上实施多学科团队管理。比较2组病人入院时、干预24周时的Tilburg衰弱量表评分、步速、握力、下肢肌力、血红蛋白和白蛋白水平。结果干预24周后,干预组TFI衰弱评分明显降低,步速、握力、股四头肌肌力、血红蛋白和白蛋白水平均明显较干预前升高(P<0.01),与对照组比较差异亦有统计学意义(P<0.01)。结论基于interRAI的多学科团队管理能有效改善衰弱老年人的衰弱状态、躯体功能和营养状况。Objective To explore the effect of multi-disciplinary team management based on interRAI in the frail elderly.Methods By convenient sampling,64 frail elderly patients were selected from January to December 2019 in the Department of Health Care in Peking Union Medical College Hospital.The subjects were randomly divided into control group and intervention group with 32 cases in each group.The control group was given routine care,while the intervention group was given multi-disciplinary team management on the basis of the control group.The Tilburg Frailty Indicator(TFI)score,walking speed,grip strength,muscle strength of lower limb and the levels of hemoglobin and albumin were observed and compared at admission and 24 weeks after intervention.Results After 24 weeks of intervention,the TFI score was significantly decreased,the levels of walking speed,grip strength,muscle strength of lower limb,hemoglobin and albumin were significantly increased in the intervention group compared with those in the control group(P<0.01).Conclusions Multi-disciplinary team management based on interRAI could effectively improve the frail status,physical function and nutritional status of the frail elderly.

关 键 词：衰弱 老年人 国际居民评估工具 多学科团队 营养 

分 类 号：R592[医药卫生—老年医学]