老年失能全周期综合康复管理模式专家共识  

Expert consensus on the management model of full-period comprehensive rehabilitation for the functional disability of older adults

作　　者：刘瑞[1,2] 余中华 张霞 梁玉祥[1,2] 甘莉 李利娟 王凤怡[1,2] 魏全 LIU Rui;YU Zhonghua;ZHANG Xia;LIANG Yuxiang;GAN Li;LI Lijuan;WANG Fengyi;WEI Quan(Rehabilitation Medicine Center and Institute of Rehabilitation Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Key Laboratory of Rehabilitation Medicine in Sichuan Province,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Department of Rehabilitation,Affiliated Sichuan Provincial Rehabilitation Hospital of Chengdu University of TCM,Chengdu,Sichuan 610000,P.R.China)

机构地区：[1]四川大学华西医院康复医学中心/康复医学研究所,成都610041 [2]康复医学四川省重点实验室,成都610041 [3]成都中医药大学附属四川省康复医院康复科,成都610000

出　　处：《华西医学》2024年第6期856-865,共10页West China Medical Journal

基　　金：国家重点研发计划(2020YFC2008500,2020YFC2008502)。

摘　　要：目前我国人口老龄化形势严峻,失能与半失能老年人数量也在持续增加,为社会带来沉重的负担。既往研究表明康复治疗有助于改善失能老人的各种功能障碍,帮助失能老人恢复日常生活活动能力和提高生活质量。但多学科综合管理模式在我国仍处于起步阶段,缺乏针对失能老人的多学科全周期综合康复管理探索。因此,该共识基于相关文献,从运动、视力、听力、认知、吞咽、心肺、二便、心理和日常生活活动9个功能维度为核心展开,就失能老年人的康复评估与干预进行总结,以期为开展失能老人综合康复管理工作提供参考。The aging of the population is grim,and the functional disability of older adults is increasing,bringing heavy burden to society.Previous studies have shown that rehabilitation is beneficial to improve the various functional disorders of the functional disability of older adults,and help them recover their activities of daily living and improve their quality of life.However,the multi-disciplinary comprehensive management model is still in its infancy in China,and there is a lack of multi-disciplinary full-period comprehensive rehabilitation management exploration for the functional disability of older adults.Therefore,based on the relevant literature,this experts consensus summarizes the rehabilitation evaluation and intervention of the functional disability of older adults from nine functional dimensions:movement,vision,hearing,cognition,swallowing,cardiopulmonary,defecation,psychology and activities of daily life,in order to provide reference for the comprehensive rehabilitation management of the functional disability of older adults.

关 键 词：老年人 失能 综合康复 专家共识 

分 类 号：R493[医药卫生—康复医学]