家庭医生对轻度创伤老年患者功能衰退情况认知的全国性调查

发布时间：2018-02-04 20:35

本文关键词： 家庭医生功能衰退临床决策轻度损伤操作功能问卷调查随机样本开发过程损伤后评价量表 　出处：《中国全科医学》2017年04期 　论文类型：期刊论文

【摘要】：背景未能评估老年患者在轻度损伤时的功能衰退状况可能会导致不良的健康结局。本文旨在明确是什么引起临床意义上的功能衰退和临床决策仪器所需的灵敏度,从而鉴别出老年患者损伤后的功能衰退。方法在深入的开发过程之后,对178例家庭医生的随机样本进行问卷调查。使用改进的Dillman技术开展调查。结果 143份合格调查问卷中,回收完整调查问卷67份,回收率为46.9%。家庭医生表示,在28分制的老年美国资源和服务操作功能评价量表(OARS)中,90%的医生认为至少有3分的降幅即为临床上有意义。90%的医生会对检测轻微创伤6个月后存在功能下降风险患者的临床决策仪器的灵敏度达到90%或以上感到满意。大多数家庭医生并不会定期评估OARS中针对创伤老年患者的大多数任务。结论绝大部分家庭医生(90%)认为OARS上至少有3分的降幅对明确功能衰退具有重要意义,而且会对检测这种衰退症状的灵敏度达到90%的临床决策仪感到满意。
[Abstract]:Background failure to assess the functional decline in elderly patients with mild injury may lead to poor health outcomes. The purpose of this article is to determine what causes functional decline in the clinical sense and the sensitivity required for clinical decision-making instruments. . In order to identify the elderly patients with functional decline after injury. Methods after in-depth development process. The random sample of 178 family doctors was investigated by using the improved Dillman technique. Results 67 complete questionnaires were collected out of 143 eligible questionnaires. The recovery rate was 46.9%. Family doctors indicated that OARS was used in the 28 score scale for the Evaluation of Resource and Service Operations in the United States of America. 90% of doctors believe that a decrease of at least 3 points is clinically significant. 90% of doctors will have a sensitivity of 90% or more to clinical decision-making instruments that detect patients at risk of functional decline 6 months after mild trauma. Most family doctors do not regularly evaluate most of the tasks in the OARS for traumatized elderly patients. Think that at least three cents drop in the OARS is important for clear functional decline. And will be satisfied with the sensitivity of this decline in the detection of 90% clinical decision-making instrument.
【分类号】：R641
【正文快照】： 家庭医生对轻度创伤老年患者功能衰退情况认知的全国性调查@ABDULAZIZ K E @BREHAUT J @TALJAARD M @本刊编辑部背景未能评估老年患者在轻度损伤时的功能衰退状况可能会导致不良的健康结局。本文旨在明确是什么引起临床意义上的功能衰退和临床决策仪器所需的灵敏度,从而鉴

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