Prete P E, Phan N
Veterans Administration Medical Center, Long Beach, CA, USA.
Clin Perform Qual Health Care. 1996 Apr-Jun;4(2):90-5.
To determine the extent of under-reporting of musculoskeletal disease among very elderly nursing home patients, 50 Veterans Affairs Nursing Home patients were evaluated by means of retrospective medical chart review. The primary caregivers' charted musculoskeletal examinations were scored objectively; then the patients completed an arthritis questionnaire, a short-form Geriatric Depression Scale assessment, and the Katz Activities of Daily Living Scale assessment. Finally, each patient underwent an objectively scored musculoskeletal examination by a rheumatologist. The results indicated that musculoskeletal disease in the very elderly nursing home patient is more prevalent than self-report or examination by the primary caregiver suggested. Brief but directed arthritis symptom questioning followed by a specialized examination were necessary to diagnose treatable musculoskeletal disease in this population.
为确定老年疗养院患者中肌肉骨骼疾病漏报的程度，通过回顾性病历审查对50名退伍军人事务疗养院患者进行了评估。对主要护理人员记录的肌肉骨骼检查进行客观评分；然后患者完成一份关节炎问卷、一份老年抑郁量表简表评估以及Katz日常生活活动量表评估。最后，每位患者接受了风湿病学家的客观评分肌肉骨骼检查。结果表明，老年疗养院患者中的肌肉骨骼疾病比自我报告或主要护理人员的检查所显示的更为普遍。对于该人群中可治疗的肌肉骨骼疾病的诊断，在进行专门检查之前先进行简短但有针对性的关节炎症状询问是必要的。
