gms | German Medical Science

Kongress Medizin und Gesellschaft 2007

17. bis 21.09.2007, Augsburg

Patient goals in early post-acute geriatric rehabilitation – is attainment of goals an indicator for an improvement in overall functioning?

Meeting Abstract

  • Sandra Kus - Institut für Gesundheits- und Rehabilitationswissenschaften, Ludwig-Maximilians-Universität, München
  • Eva Grill - Institut für Gesundheits- und Rehabilitationswissenschaften, Ludwig-Maximilians-Universität, München
  • Christine Boldt - Institut für Gesundheits- und Rehabilitationswissenschaften, Ludwig-Maximilians-Universität, München
  • Martin Müller - Institut für Gesundheits- und Rehabilitationswissenschaften, Ludwig-Maximilians-Universität, München
  • S Schick - Institut für Gesundheits- und Rehabilitationswissenschaften, Ludwig-Maximilians-Universität, München
  • R Strobl - Institut für Gesundheits- und Rehabilitationswissenschaften, Ludwig-Maximilians-Universität, München
  • G Stucki - Institut für Gesundheits- und Rehabilitationswissenschaften, Ludwig-Maximilians-Universität, München

Kongress Medizin und Gesellschaft 2007. Augsburg, 17.-21.09.2007. Düsseldorf: German Medical Science GMS Publishing House; 2007. Doc07gmds858

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/gmds2007/07gmds858.shtml

Veröffentlicht: 6. September 2007

© 2007 Kus et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background: Timely goal setting in close collaboration with the patient is essential to rehabilitation success. In this context the relevance of goal attainment for an evaluation of outcome is of interest to clinical practice. The objective of this study was to identify goals of aged patients in early post-acute geriatric rehabilitation using the International Classification of Functioning, Disability and Health (ICF) and to examine their attainment in relation to functioning.

Methods: A prospective multicentre cohort study in early post-acute geriatric rehabilitation facilities. A semi-structured questionnaire was used to identify patient goals and to assess functioning from patient’s and health professionals perspectives. Patient’s statements were translated into the ICF terminology following a standardized linking procedure. We calculated a residualized change score to identify those patients who improved more than statistically expected from the baseline value, controlled for length of inpatient stay. Bivariate analyses and logistic regression were used to identify an association among goal attainment and improvement in functioning.

Results: 209 patients gave 476 statements. 346 (72.7 %) of them were linked to 58 different ICF categories and 5 different chapters. ‘Walking’, ‘getting rid of pain’, regaining ‘autonomy’, ‘returning home’ and improvement of the ‘general condition’ could be identified as the most important aspects from the patient perspective. Bivariate analyses showed significant association between goal attainment and improvement in functioning. Multivariable analysis identified length of inpatient hospitalization and goal attainment as significant predictors for an improvement in functioning.

Conclusions: The ICF can be used as a helpful tool to identify and structure patients’ statements about their goals in geriatric rehabilitation. Attainment of subjectively set goals can indicate improvement in overall functioning. The results underline that involving the patient in the rehabilitation planning process is essential for clinical practice and might result in an improved outcome.