Psychological Well Being and Recovery Among Older Hospitalized Adults

老年住院患者的心理健康和康复

• 批准号: 8077928
• 负责人: GLENN V OSTIR
• 金额: $ 26.51万
• 依托单位: UNIVERSITY OF TEXAS MED BR GALVESTON
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-08-01 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8077928
• 关键词: Activities of Daily Living; Acute; Address; Admission activity; Adult; Affect; Caring; Communities; Data; Effectiveness; Elderly; Enrollment; Ethnic group; Goals; Health; Hispanics; Hospitalization; Hospitals; Hour; Interview; Investigation; Knee; Knowledge; Life; Measures; Medical; NIH Program Announcements; National Institute on Aging; Not Hispanic or Latino; Outcome; Patients; Pattern; Personal Satisfaction; Recovery; Research; Risk; Sampling; Testing; Texas; Therapeutic; Time; Universities; Walking; Well in self; body-mind; follow-up; functional status; grasp; health disparity; instrument; interest; meter; mind body interaction; older patient; patient population; psychologic

DESCRIPTION (provided by applicant): Our proposed study addresses the Program Announcement entitled "Research on Mind-Body Interactions and Health" (PA-07-046). Specifically, we address the National Institute on Aging (NIA) interest in exploring associations between psychological well-being and functional ability in older adults hospitalized for acute illness. The Specific Aims of the proposed application are to: 1. Examine change in functional status during hospitalization and up to one-year post hospital discharge. Functional status will be assessed by a battery of measures (a 4 meter walk, a test of grip strength, knee extensor strength and seven activities of daily living (ADLs)) at 5 time points: within 24 hours of hospital admission and discharge, and 1, 6 and 12 months post discharge. 2. Examine direct and indirect associations between psychological well-being and functional status during hospitalization and up to one-year post hospital discharge. Psychological well-being, assessed by a 6- domain psychological well-being instrument and a positive affect summary scale, will be used to examine patterns of association with functional status over the 5 time points outlined in aim 1. 3. Examine whether psychological well-being modifies ethnic health disparities associated with functional status during hospitalization and up to one-year post hospital discharge. This aim will allow us to examine how ethnic group (non-Hispanic whites, non-Hispanic blacks and Hispanics) interacts with psychological well-being to influence functional status over the 5 time points outlined in aim 1. To explore our aims, we plan to follow up an ethnically diverse sample of 800 older patients (non-Hispanic whites, non-Hispanic blacks and Hispanics) admitted to the Acute Care for Elders (ACE) unit at the University of Texas Medical Branch. Older adults enrolled in the study will be assessed at five time points: within 24 hours of hospital admission, within 24 hours of hospital discharge and 1, 6 and 12 months post discharge. The five time points will allow us not only to examine overall patterns of effect between functional status and psychological well-being but it will also allow us to examine patterns of effect over distinct time periods including hospitalization and post discharge. The three post discharge follow up interviews will further allow us to examine and explain associations between functional status and psychological well-being in relation to short (1 month) and longer term (6 and 12 month) recovery patterns. A central goal of the current application is to examine whether psychological well-being can influence the risk for functional status decline associated with hospitalization in an ethnically diverse older patient population.

描述（由申请人提供）：我们提出的研究介绍了题为“思维互动与健康研究”的计划公告（PA-07-046）。具体而言，我们介绍了国家老龄化研究所（NIA）对探索心理健康和功能能力之间的关联的兴趣，以急性疾病住院。拟议申请的具体目的是：1。检查住院期间的功能状况变化以及最高一年的住院后出院。功能状态将通过一系列措施（步行4米，抓地力测试，膝盖伸肌强度和七个日常生活（ADLS））评估，在5时间点：在入院和出院后的24小时内以及出院后的1、6和12个月。 2。检查住院期间心理健康与功能状况之间的直接和间接关联，并在住院后一年。通过6个领域的心理健康工具评估的心理健康和积极的影响摘要量表，将用于检查AIM1。3中概述的5个时间点，与功能状况的关联模式。1。3。检查心理健康是否会改变与住院期间和最多一年的医院后与功能状况相关的族裔健康差异。 This aim will allow us to examine how ethnic group (non-Hispanic whites, non-Hispanic blacks and Hispanics) interacts with psychological well-being to influence functional status over the 5 time points outlined in aim 1. To explore our aims, we plan to follow up an ethnically diverse sample of 800 older patients (non-Hispanic whites, non-Hispanic blacks and Hispanics) admitted to the Acute Care for德克萨斯大学医学分公司的长老（ACE）单位。参加研究的老年人将在五个时间点进行评估：入院后的24小时内，在出院后的24小时内以及出院后的1、6和12个月内。这五个时间点将使我们不仅可以检查功能状况和心理健康之间的总体效果模式，而且还可以使我们能够在包括住院和出院在内的不同时间段内检查效果模式。与短期（1个月）和长期（6个月和12个月）的恢复模式相关的功能状态与心理健康之间的三个出院后随访访谈将使我们能够检查和解释功能状况与心理健康之间的关联。当前应用的一个核心目标是检查心理健康是否会影响与住院老年患者人口相关的功能状况下降的风险。