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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。
Background Failure to assess functional decline in elderly patients at mild injury can lead to poor health outcomes. The purpose of this article is to identify what causes clinically significant functional decline and the required sensitivity of clinical decision-making instruments to identify the functional decline in elderly patients after injury. Methods After the in-depth development process, a random sample of 178 family doctors was surveyed. Investigate with improved Dillman technology. Results In the 143 qualified questionnaires, 67 complete questionnaires were collected, the recovery rate was 46.9%. Family physicians said 90% of doctors in the 28-point OARS rated a clinically relevant decline. Ninety percent of physicians are satisfied with a sensitivity of 90% or more for clinical decision-making instruments in patients at risk for decline in function after 6 months of detecting minor trauma. Most GPs do not regularly assess most of the OARS’s tasks for traumatized senile patients. Conclusions The vast majority of GPs (90%) believe that a 3-point decline in OARS is important for definitive decline in function and will be satisfactory for clinical decision makers testing 90% of the symptoms of this decline.