نوع مقاله : مقاله پژوهشی
نویسندگان
1 فوق لیسانس پرستاری سالمندی، کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران.
2 دانشیار پرستاری، مرکز تحقیقات سلامت سالمندان، گروه پرستاری داخلی جراحی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران.
3 مرکز تحقیقات سلامت سالمندان، گروه پرستاری داخلی جراحی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران.
4 استادیار آمار زیستی، مرکز تحقیقات سلامت سالمندان، گروه آمار زیستی و اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران.
5 دکترای پرستاری، دانشکده پرستاری، دانشکده علوم سلامت، دانشگاه اتاوا، اتاوا، انتاریو، کانادا.
چکیده
زمینه و هدف: پیشبینی و پیشگیری از پذیرش مجدد در سالمندان مبتلابه بیماریهای قلبی عروقی بهعنوان یک رویداد پرتکرار ضروری است، زیرا با افزایش هزینههای درمانی و مرگومیر همراه است. این مطالعه با هدف بررسی دقت ابزارهای فعالیتهای روزمره و ابزاری زندگی در پیشبینی پذیرش مجدد در سالمندان مبتلابه بیماریهای قلبی-عروقی انجام شد.
مواد و روشها: مطالعه همبستگی پیشبینی کننده، بر روی 133 بیمار سالمند بستری در بخش قلب و Post ccu بیمارستان حشمتیه سبزوار انجام شد. ابزارهای فعالیتهای روزمره و فعالیتهای ابزاری زندگی برای بیماران در روز ترخیص تکمیل و بیماران تا 3 ماه پس از ترخیص، ازنظر پذیرش مجدد مورد پیگیری تلفنی قرار گرفتند. برای تحلیل از نرمافزارهای MedCalc,Stata استفاده شد.
یافتهها: میانگین سنی شرکتکنندگان 83/69 (انحراف معیار=67/7) سال و 4/59 درصد زن بودند. شیوع پذیرش مجدد در ماه اول 6/22 درصد و در طی سه ماه پس از ترخیص 8/33 % بود. نسبت احتمال مثبت ابزارهای فعالیتهای روزمره زندگی و فعالیتهای ابزاری زندگی به ترتیب 76/1 و 82/1، نسبت احتمال منفی آنها 71/0 و 57/0 بود. بیمارانی که در انجام فعالیتهای روزمره زندگی و فعالیتهای روزمره ابزاری زندگی مستقل بودند، به ترتیب 8 و 13 درصد شانس پذیرش مجدد کمتری در مقایسه با بیماران وابسته داشتند.
نتیجهگیری: بیمارانی که در انجام فعالیتهای روزمره و ابزاری زندگی وابسته و یا نیازمند کمک بودند، شانس بیشتری برای پذیرش مجدد داشتند.
تازه های تحقیق
https://scholar.google.com/citations?view_op=list_works&hl=en&authuser=2&user=AjoYQNAAAAAJ
https://www.ncbi.nlm.nih.gov/myncbi/collections/mybibliography/
https://scholar.google.com/citations?user=k1Lbf6QAAAAJ&hl=en&oi=ao.
https://pubmed.ncbi.nlm.nih.gov/?sort=date&term=Assarroudi+A&cauthor_id=40100042.
https://scholar.google.com/citations?hl=en&user=38olGWoAAAAJ
https://pubmed.ncbi.nlm.nih.gov/?sort=date&term=Salehabadi+R&cauthor_id=35071629.
https://scholar.google.com/citations?user=h-jD--cAAAAJ&hl=en
https://pubmed.ncbi.nlm.nih.gov/?sort=date&term=Rakhshani+MH&cauthor_id=40355965
https://scholar.google.com/citations?user=xEn-dFUAAAAJ&hl=en
https://pubmed.ncbi.nlm.nih.gov/?sort=date&term=Sahebkar+M&cauthor_id=40100042
کلیدواژهها
موضوعات
عنوان مقاله [English]
Evaluating the Diagnostic Performance Characteristics of Activities of Daily Living and Instrumental Activities of Daily Living in Predicting Readmission in Older Adults with Cardiovascular Diseases
نویسندگان [English]
- Roghaye Abbasian 1
- Abdolghader Assarroudi 2
- Raha Salehabadi 3
- Mohammad Hassan Rakhshani 4
- Mohammad Sahebkar 5
1 Master of Science in Geriatric Nursing, Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran.
2 Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran
3 Iranian Research Center on Healthy Aging, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran & Iranian Research Center on Aging. University of Social Welfare and Rehabi
4 Assistant Professor, Iranian Research Center on Healthy Aging, Department of Biostatistics and Epidemiology, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran.
5 PhD in Nursing, School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
چکیده [English]
Introduction: Predicting and preventing readmissions in elderly patients with cardiovascular diseases (CVD) is crucial due to the high frequency of readmissions and their association with increased mortality and healthcare costs. This study aimed to evaluate the accuracy of activities of daily living (ADLs) and instrumental activities of daily living (IADLs) in predicting readmission among older adults with CVD.
Materials and Methods: This predictive correlational study was conducted with 133 elderly patients hospitalized in the cardiology and post-CCU wards of Heshmatiye Hospital, Sabzevar, Iran. ADL and IADL scales were completed at discharge, and patients were followed via phone for three months to track readmissions. Data were analyzed using MedCalc and Stata software.
Results: The mean age of participants was 69.83 years (SD = 7.671), with 59.4% being women. The prevalence of readmission was 22.6% within the first month and 33.8% within three months post-discharge. The positive likelihood ratios for ADLs and IADLs were 1.76 and 1.82, respectively, while the negative likelihood ratios were 0.71 and 0.57. Patients who were independent in performing ADLs and IADLs had an 8% and 13% lower chance of readmission compared to dependent patients, respectively.
Conclusion: The findings suggest that the likelihood of readmission is greater among patients dependent on ADLs or IADLs compared to those who are independent.
کلیدواژهها [English]
- Activities of Daily Living
- Predictive Value of Tests
- Patient Readmission
- Heart Diseases
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