老年患者急性期快速恢复病房的研究进展

doi:10.3761/j.issn.0254-1769.2023.01.017

摘要/Abstract

摘要：

老年患者急性期快速恢复病房是一种特殊的照护病房，以促进老年患者住院期间功能维持为核心，达到快速恢复、尽早回归家庭的目的。该文综述了老年患者急性期快速恢复病房的起源、发展、关键要素、工作程序及使用效果等，并结合中国国情提出老年患者急性期快速恢复病房的发展方向，为护理实践提供参考。

关键词: 老年人, 急性期快速恢复病房, 综述, 护理

Abstract:

As a special care unit，the unit of acute care for the elderly（ACE） focused on functional maintaining of elderly patients during hospitalization to recover rapidly and return to the family as soon as possible. This paper summarized the origin，development，key elements，working procedures and application effects of the ACE unit，and suggested the development direction of ACE unit according to Chinese national conditions，which can be used as a reference for nursing clinical practice.

Key words: Aged, Acute Care for the Elderly Unit, Review, Nursing Care

鲁闻燕, 刘晓玲, 夏江柳, 章丹, 张雪梦, 朱玲玲, 赵华. 老年患者急性期快速恢复病房的研究进展[J]. 中华护理杂志, 2023, 58(1): 117-120.

LU Wenyan, LIU Xiaoling, XIA Jiangliu, ZHANG Dan, ZHANG Xuemeng, ZHU Lingling, ZHAO Hua. A literature review on the application of acute care for the elderly unit in hospitalized patients[J]. Chinese Journal of Nursing, 2023, 58(1): 117-120.

图/表 1

参考文献 32

[1]	Gardeniers MKM, Meijboom EJ, et al. Three-year trajectories in functional limitations and cognitive decline among Dutch 75+ year olds,using nine-month intervals[J]. BMC Geriatr, 2022, 22(1):89. DOI PMID
[2]	D’Onofrio A, Büla C, Rubli E, et al. Functional trajectories of older patients admitted to an Acute Care Unit for elders[J]. Int J Older People Nurs, 2018, 13(1):1315-1321.
[3]	Saunders R, Seaman K, Graham R, et al. The effect of volunteers’ care and support on the health outcomes of older adults in acute care:a systematic scoping review[J]. J Clin Nurs, 2019, 28(23/24):4236-4249. DOI URL
[4]	Athari F, Hillman KM, Frost SA. The concept of frailty in intensive care[J]. Aust Crit Care, 2019, 32(2):175-178. DOI PMID
[5]	McNabney MK, Green AR, Burke M, et al. Complexities of care:common components of models of care in geriatrics[J]. J Am Ge-riatr Soc, 2022, 70(7):1960-1972.
[6]	Palmer R, Landefeld C, Kresevic D, et al. A medical unit for the acute care of the elderly[J]. J Am Geriatr Soc, 1994, 42(5):545-552. PMID
[7]	Ahmed N, Taylor K, McDaniel Y, et al. The role of an acute care for the elderly unit in achieving hospital quality indicators while caring for frail hospitalized elders[J]. Popul Health Manag, 2012, 15(4):236-240. DOI PMID
[8]	Ribbink ME, Gual N, Macneil-Vroomen JL, et al. Two European examples of acute geriatric units located outside of a general hospital for older adults with exacerbated chronic conditions[J]. J Am Med Dir Assoc, 2021, 22(6):1228-1234. DOI PMID
[9]	赵文婷, 张蒙, 曹立, 等. 老年人急性期快速恢复病房概述及发展状况[J]. 中国实用护理杂志, 2017, 33(30):2393-2396.
	Zhao WT, Zhang M, Cao L, et al. Overview and development situation of acute care of the elderly unit[J]. Chin J Pract Nurs, 2017, 33(30):2393-2396.
[10]	DiGiacomo JC, Angus LDG, Cardozo-Stolberg S, et al. Betwixt and between:a surgical post-acute treatment unit(SPA) for the optimal care of elderly patients with isolated hip fractures[J]. Aging Clin Exp Res, 2019, 31(12):1743-1753. DOI PMID
[11]	胡秀英, 白春兰, 徐小凤, 等. 急速老龄化进程下中国老年人全程健康照护模式探讨[J]. 中国护理管理, 2018, 18(5):590-596.
	Hu XY, Bai CL, Xu XF, et al. Investigation on the full range of health care model for older people under the rapid aging process[J]. Chin Nurs Manag, 2018, 18(5):590-596.
[12]	Kresevic D, Pettis JL. Acute care for elders(ACE) units - ensuring age-friendly interdisciplinary care for older[J]. Geriatr Nurs, 2021, 42(3):776-779. DOI PMID
[13]	Palmer RM. The acute care for elders unit model of care[J]. Geriatrics (Basel), 2018, 3(3):E59.
[14]	Balentine CJ, Morris M, Knight SJ, et al. An implementation assessment of the virtual acute care for elders program from the perspective of key stakeholders[J]. Ann Surg, 2022, 275(6):e752-e758. DOI URL
[15]	Booth KA, Simmons EE, Viles AF, et al. Improving geriatric care processes on two medical-surgical acute care units:a pilot study[J]. J Healthc Qual, 2019, 41(1):23-31. DOI URL
[16]	Hu FW, Huang YT, Lin HS, et al. Effectiveness of a simplified reablement program to minimize functional decline in hospitalized older patients[J]. Geriatr Gerontol Int, 2020, 20(5):436-442. DOI URL
[17]	王玮荻, 蔡纯, 何梅. 老年人住院相关功能下降风险筛查及干预研究进展[J]. 护理学杂志, 2019, 34(22):105-109.
	Wang WD, Cai C, He M. Review of screening instruments and interventions for hospitalization-associated functional decline among older adults[J]. J Nurs Sci, 2019, 34(22):105-109.
[18]	Vallecillo G, Anguera M, Martin N, et al. Effectiveness of an acute care for elders unit at a long-term care facility for frail older patients with COVID-19[J]. Geriatr Nurs, 2021, 42(2):544-547. DOI URL
[19]	Duke GJ, Moran JL, Bersten AD, et al. Hospital-acquired complications:the relative importance of hospital- and patient-related factors[J]. Med J Aust, 2022, 216(5):242-247. DOI URL
[20]	张华果, 宋咪, 徐月, 等. 老年人跌倒相关心理问题的研究进展[J]. 中华护理杂志, 2021, 56(3):458-463. DOI
	Zhang HG, Song M, Xu Y, et al. Research progress of fall-related psychological concerns among older adults[J]. Chin J Nurs, 2021, 56(3):458-463. DOI
[21]	Abdalla A, Adhaduk M, Haddad RA, et al. Does acute care for the elderly(ACE) unit decrease the incidence of falls[J]. Geriatr Nurs, 2018, 39(3):292-295. DOI PMID
[22]	蒋琪霞, 唐永利, 洪艳燕, 等. 50所医院老年患者皮肤损伤现状及危险因素分析[J]. 中华护理杂志, 2022, 57(9):1105-1112. DOI
	Jiang QX, Tang YL, Hong YY, et al. Analysis on the prevalence and risk factors of skin injuries in the elderly in 50 hospitals in China[J]. Chin J Nurs, 2022, 57(9):1105-1112. DOI
[23]	Fox MT, Sidani S, Persaud M, et al. Acute care for elders components of acute geriatric unit care:systematic descriptive review[J]. J Am Geriatr Soc, 2013, 61(6):939-946. DOI URL
[24]	贾文文, 赵慧楠, 戴付敏, 等. 老年糖尿病患者衰弱现状及影响因素研究[J]. 中华护理杂志, 2019, 54(2):188-193. DOI
	Jia WW, Zhao HN, Dai FM, et al. The current situation and influential factors of frailty in elderly patients with diabetes[J]. Chin J Nurs, 2019, 54(2):188-193. DOI
[25]	Chowdhury TP, Starr R, Brennan M, et al. A quality improvement initiative to improve medication management in an acute care for elders program through integration of a clinical pharmacist[J]. J Pharm Pract, 2020, 33(1):55-62. DOI PMID
[26]	陈家劲, 凌玲, 王瑞亭, 等. 骨科老年患者术后肺炎直接经济损失分析[J]. 中国社会医学杂志, 2022, 39(3):356-359.
	Chen JJ, Ling L, Wang RT, et al. Direct economic loss due to postoperative pneumonia in elderly patients of orthopedics department[J]. Chin J Soc Med, 2022, 39(3):356-359.
[27]	Ahmed NN, Pearce SE. Acute care for the elderly:a literature review[J]. Popul Health Manag, 2010, 13(4):219-225. DOI URL
[28]	Amador LF, Reyes-Ortiz CA, Reed D, et al. Discharge destina-tion from an acute care for the elderly(ACE) unit[J]. Clin In-terv Aging, 2007, 2(3):395-399.
[29]	Barnes DE, Palmer RM, Kresevic DM, et al. Acute care for elders units produced shorter hospital stays at lower cost while maintaining patients’ functional status[J]. Health Aff (Millwood), 2012, 31(6):1227-1236. DOI URL
[30]	Flood KL, MacLennan PA, McGrew D, et al. Effects of an acute care for elders unit on costs and 30-day readmissions[J]. JAMA Intern Med, 2013, 173(11):981-987. DOI PMID
[31]	赖荣美, 汪必会, 罗庆. 老年人急性期快速恢复单元照护模式的构建与实施[J]. 护理学杂志, 2020, 35(3):4-7.
	Lai RM, Wang BH, Luo Q. Construction and implementation of acute care of the elderly unit[J]. J Nurs Sci, 2020, 35(3):4-7.
[32]	高浪丽, 张雪梅, 谢冬梅, 等. 老年人急性期快速恢复病房的建立及其对老年病房医疗指标的影响[J]. 实用老年医学, 2019, 33(11):1073-1076.
	Gao LL, Zhang XM, Xie DM, et al. Establishment of acute care for the elderly unit and the impact on the medical indicators[J]. Pract Geriatr, 2019, 33(11):1073-1076.