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[养老院中的康复治疗。三年期间的经验]

[Rehabilitation in nursing homes. Experiences from a 3-year period].

作者信息

Nygaard H A, Birkedal L

机构信息

Fyllingsdalen sykehjem.

出版信息

Tidsskr Nor Laegeforen. 1992 Jan 10;112(1):34-7.

PMID:1553641
Abstract

Patients who were admitted to a rehabilitation unit in a somatic nursing home between 1.9.1987 and 31.12.1988 were interviewed approximately 19 months (mean) after discharge with respect to how they functioned at home and their quality of life. Demographic data, diagnoses and level of functioning at admission and upon discharge were collected from the medical records. 134 patients were admitted, 99 of whom were discharged to their home, 20 transferred to long-term care in an institution, 12 died and three were transferred to hospital. The study comprises 86 patients who were available for an interview at follow up. In 20% of these patients new diagnoses were made, which were of clinical importance. The level of functioning improved during period of treatment, but at follow up had declined, particularly in the case of stroke patients. Demented patients were more liable to be placed in an institution, as were unmarried or widowed persons and people unable to prepare their own meals. Family contact and the ability to eat without help were significant for quality of life.

摘要

1987年9月1日至1988年12月31日期间入住一家躯体疗养院康复科的患者,在出院后约19个月(平均)接受了关于其在家中功能状况和生活质量的访谈。从病历中收集了人口统计学数据、诊断以及入院和出院时的功能水平。共收治134例患者,其中99例出院回家,20例转至机构接受长期护理,12例死亡,3例转至医院。该研究包括86例在随访时可接受访谈的患者。在这些患者中,20%被诊断出有具有临床意义的新病症。功能水平在治疗期间有所改善,但在随访时有所下降,尤其是中风患者。痴呆患者、未婚或丧偶者以及无法自行准备膳食的人更有可能被安置在机构中。家庭联系和独立进食能力对生活质量有重要影响。

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