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首页> 外文期刊>Nursing research >Correlates of recovery among older adults after major abdominal surgery.
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Correlates of recovery among older adults after major abdominal surgery.

机译：大腹部手术后老年人恢复的相关性。

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BACKGROUND: Little research has examined the recovery patterns of older adults who have had major abdominal surgery. OBJECTIVE: To determine whether pain, depression, and fatigue are significant factors in the return of older adults who had major abdominal surgery to functional status and self-perception of recovery in the first 3 months after discharge from the hospital. METHODS: A correlational predictive study involved adults 60 years of age or older who had undergone major abdominal surgery. Data were collected during hospitalization (n = 192), then 3 to 5 days (n = 141), 1 month (n = 132), and 3 months after discharge to home (n = 126) using the Brief Pain Inventory, the Geriatric Depression Scale-Short Form, the Modified Fatigue Symptom Checklist, the Enforced Social Dependency Scale, and the Self-Perception of Recovery Scale. RESULTS: Multiple regression analysis indicated that pain, depression, and fatigue are significantly related to patients' self-perception of recovery and functional status.Pain, depression, and fatigue explain 13.4% of the variation in functional status at 3 to 5 days, 30.8% at 1 month, and 29.1% at 3 months after discharge. These three factors also explain 5.6% of the variation in self-perception of recovery during hospitalization, 12.3% at 3 to 5 days, 33.2% at 1 month, and 16.1% at 3 months after discharge. CONCLUSIONS: Pain, depression, and fatigue are important factors to consider in the provision of care to abdominal surgery patients with a relatively uncomplicated postoperative course. Specific interventions to reduce pain, depression, and fatigue need to be evaluated for their impact on the postoperative recovery of older adults.
机译：背景：很少有研究检查接受大腹部手术的老年人的康复方式。目的：确定疼痛，抑郁和疲劳是否是进行腹部大手术的老年人恢复出院后头三个月的功能状态和自我恢复的自我感知的重要因素。方法：一项相关的预测性研究涉及60岁或以上的成年人，他们接受了重大的腹部手术。住院期间（n = 192），随后3到5天（n = 141），1个月（n = 132）和出院后3个月（n = 126）中的患者使用简要疼痛量表（老年病）收集数据。抑郁量表-简短表格，经修正的疲劳症状清单，强制性社会依赖量表和康复的自我感知量表。结果：多元回归分析表明，疼痛，抑郁和疲劳与患者自我恢复和功能状态的自我感觉密切相关;疼痛，抑郁和疲劳在3至5天时解释了13.4％的功能状态变化，30.8出院后1个月为％，出院后3个月为29.1％。这三个因素还解释了住院期间恢复自我知觉变化的5.6％，出院后3至5天的12.3％，1个月的33.2％和3个月的16.1％。结论：疼痛，抑郁和疲劳是为术后相对简单的腹部手术患者提供护理时要考虑的重要因素。需要评估减轻疼痛，抑郁和疲劳的具体干预措施对老年人术后恢复的影响。

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