老年住院患者的综合管理

Comprehensive management for the elderly inpatients

摘要:

衰老、共病、老年综合征、老年问题等多方面因素共同作用，影响老年人的健康情况和功能状态，需要进行全面的老年综合评估来发现老年住院患者各个方面的问题，针对可以处理、能够逆转的问题进行个体化的干预，才能使老年患者真正获益。除了针对入院疾病的诊疗之外，还要重视相关的老年问题，采取跨学科团队干预，可以有效地处理其健康问题，改善老年患者的功能状态、提高生活质量。

Abstract:

The health status and function of the elderly are determined by multiple factors, including aging, comobidities, geriatric syndromes and geriatric problems, and so on. Therefore, it is necessary to carry a comprehensive geriatric assessment (CGA) to evaluate all the problems, and then to implement individualized interventions for these solvable and reversible problems so as to benefit the elderly inpatients. What’s more, it is far from enough to only treat the diseases which cause the main complaints for admission, the health workers should also pay attention to other relative geriatric problems. Patient-centered management by an interdisciplinary geriatric team will be effectively solve health problems, improve the functions and promote quality of life (QOL) for the elderly inpatients.