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| 標題: | Effects of modified version of the Hospital Elder Life Program on post-discharge cognitive function and activities of daily living among older adults undergoing total knee arthroplasty |
| 作者: | Liang, Chih-Kuang
Chu, Che-sheng
Hsu, Ying-Hsin
Chou, Ming-Yueh
Wang, Yu-Chun
Lin, Yu-Te
Renn, Jenn-Huei
Liu, Tsung-Yun
Yang, Chen-Chang |
| 貢獻者: | Kaohsiung Vet Gen Hosp, Ctr Geriatr & Gerontol
Natl Yang Ming Univ, Sch Med, Inst Environm & Occupat Hlth Sci
Natl Yang Ming Univ, Aging & Hlth Res Ctr
Kaohsiung Vet Gen Hosp, Dept Internal Med, Div Neurol
Kaohsiung Vet Gen Hosp, Dept Psychiat
Chia Nan Univ Pharm & Sci
Kaohsiung Vet Gen Hosp, Dept Orthopaed
Kaohsiung Vet Gen Hosp, Dept Med Affair Adm
Taipei Vet Gen Hosp, Dept Med, Div Clin Toxicol & Occupat Med |
| 關鍵字: | Intervention
Cognitive decline
Functional decline
Delirium
Total knee arthroplasty |
| 日期: | 2021 |
| 上傳時間: | 2023-11-11 11:53:52 (UTC+8) |
| 出版者: | ELSEVIER IRELAND LTD |
| 摘要: | Objectives: This study aimed to investigate the effects of a modified Hospital Elder Life Program (mHELP) on post-discharge cognition and physical function among older adults undergoing total knee arthroplasty (TKA), and to evaluate the incidence of postoperative delirium. Design: Non-randomized intervention trial. Setting and participants: A total of 140 patients aged 60 years and older scheduled for elective orthopedic surgery at our institution between August 2017 and December 2018 were included. Methods: Ward-level stratification was used with one surgical ward receiving mHELP (intervention group), including orientation communication, early mobilization, vision/hearing impairment equipment, and dehydration prevention, and another ward providing usual care (control group). All participants were assigned to two surgical wards. Outcome measures were collected using MMSE telephone version (tMMSE), activities of daily living (ADL) and instrumental activities of daily living (IADL) instruments at 1, 6, and 12 months after discharge. Multiple linear regression analysis was used to measure effects of mHELP intervention on mean differences in tMMSE, ADL and IADL scores from baseline to 1-, 6- and 12-months. Results: Effects of mHELP intervention significantly preserved cognitive function at 1 and 12 months, but not at 6 months, compared with controls, regardless of adjustments for confounders. However, no intervention effects were noted in ADL and IADL scores. Postoperative delirium in the whole cohort was 3.6 % (2.5 % in intervention group, 5.1 % in control group, P = 0.41). Conclusions: mHELP intervention preserves post-discharge cognitive function, but has no notable effect on ADL and IADL function in older adults undergoing elective TKA surgery. |
| 關聯: | ARCH GERONTOL GERIAT, v.93, 104284 |
| 顯示於類別: | [藥學系(所)] 期刊論文
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