an inpatient rehabilitation model of care targeting patients with cognitive impairment住院病人康复的护理模式针对患者认知障碍.pdfVIP

McGilton et al. BMC Geriatrics 2012, 12:21 /1471-2318/12/21 STUDY PROTOCOL Open Access An inpatient rehabilitation model of care targeting patients with cognitive impairment 1,2* 3 3 4 5 5 Katherine S McGilton , Aileen Davis , Nizar Mahomed , John Flannery , Susan Jaglal , Cheryl Cott , Gary Naglie1,6 and Elizabeth Rochon1,7 Abstract Background: The course and outcomes of hip fracture patients are often complicated by the presence of dementia and delirium, referred to as cognitive impairment (CI), which limits access to in-patient rehabilitation. In response to this concern, members of our team developed and piloted an in-patient rehabilitation model of care (Patient-Centred Rehabilitation Model; PCRM) targeting patients with hip fracture and CI (PCRM-CI). We are now conducting a 3-year study comparing an inpatient rehabilitation model of care for community dwelling individuals with hip fracture and CI (PCRM-CI) to usual care to determine whether it results in improved mobility at the time of discharge from inpatient rehabilitation. Methods/Design: A non-equivalent pre-post design is being used to evaluate the PCRM-CI compared to usual care. All community dwelling (private home or retirement home) patients following a hip fracture are eligible to participate. Recruitment of both cohorts is taking place at two facilities. Target accrual is 70 hip fracture patients in the PCRM-CI cohort and 70 patients in the usual care cohort. We are also recruiting 70 health care providers (HCPs), who are being trained to implement the PCRM-CI, and their unit managers. Patient data are collected at baseline, discharge, and 6 months post-discharge from an inpatient rehabilitation program. Evaluations