Exploring the Impact and Effectiveness of an Integrated Traditional Chinese and Western Medicine Treatment Model in Post-Acute Care for Frail Older Patients.
Elderly patients aged ≥75 years.
A history of at least one of the following conditions: Parkinson's disease, chronic obstructive pulmonary disease (COPD), mild dementia, or chronic kidney disease at stage 3 or above.
Hospitalized due to an acute illness (length of hospital stay >72 hours).
Functional decline within one month after completion of treatment.
Medically unstable (requiring intensive medical interventions, diagnostic testing, or supplemental oxygen).
Unable to cooperate with treatment or communication.
Single group
Traditional Chinese Medicine treatment
Drug1. Oral Chinese herbal medicine or decoction: prescribe Chinese medicine based on syndrome differentiation and treatment of the patient's condition. 2. Acupuncture or laser acupuncture treatment: Traditional Chinese medicine practitioners select acupuncture points to treat based on the patient's condition, and treat them once a week. 3. Acupoint massage: Select treatment acupoints and techniques according to the patient's condition, 20 minutes at a time. 4. Traditional Chinese Medicine Cake Acupoint Application: Warm Navel Cream to the CV-4 (Guanyuan) acupoint, the application time is 2 to 4 hours. 5. Nursing and health education and guidance. 6. Dietary hygiene education: personalized western nutrition and TCM dietary guidance suggestions based on TCM constitution syndromes. 7. Lifestyle health education and sports rehabilitation: Playing Baduanjin, ten skilled hand exercise, and health preservation videos, and providing personalized TCM exercise recommendations.
Study of Osteoporotic Fractures
Measured by the Study of Osteoporotic Fractures (SOF Index) ,score of 0\~2 : 0=robust,1 =prefrail,2= frail.
comprehensive geriatric assessment
Measured by comprehensive geriatric assessment(CGA)
Body Constitution Questionnaire / Constitution in Chinese Medicine Questionnaire
Measured by Body Constitution Questionnaire(BCQ) / Constitution in Chinese Medicine Questionnaire(CCMQ)
Height
height in cm.
Weight
weight in kilograms
Calf circumference
Keep your knee bent at a 90-degree angle, and measure the circumference of your calf at its widest point horizontally.
Grip strength
Use a handheld Jamar dynamometer in a sitting position with the elbow bent 90-degrees ,You can use either hand or your dominant hand. Record the highest value from two measurements.
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