Mann William C, Kimble Christine, Justiss Michael D, Casson Elena, Tomita Machiko, Wu Samuel S
Department of Occupational Therapy, University of Florida, PO Box 100164, Gainesville, Florida 32610-0164, USA.
Am J Occup Ther. 2005 Jul-Aug;59(4):398-408. doi: 10.5014/ajot.59.4.398.
Dressing is an important activity of daily living, yet many older adults have difficulty due to impairments. The purpose of this study was to explore the use of assistive devices for dressing by older persons with impairments, and to look at differences among frail elders with no dressing difficulty, upper-extremity-only dressing difficulty, lower-extremity-only dressing difficulty, and both upper- and lower-extremity dressing difficulty.
We conducted in-home interviews and functional assessments with 1,101 elderly persons with activities of daily living and/or instrumental activities of daily living limitations in Western New York and Northern Florida. Participants were assigned to one of four groups based on Functional Independence Measure item scores for upper-extremity dressing and lower-extremity dressing. Descriptive statistics were used to report results.
Compared to women, there were relatively more men with lower-extremity dressing difficulty than with upper-extremity dressing difficulty. The group with both upper- and lower-extremity dressing difficulty reported the highest level of pain and scored lowest on all measures of functional status and mental status. The most commonly used dressing devices were associated with lower-extremity dressing.
There are differences in gender, health status, functional status, and mental status among elderly persons grouped by upper- or lower-extremity dressing difficulty. Results suggest that therapists should consider such differences as gender and type of difficulty (upper- or lower-extremity dressing) in both therapeutic approaches and recommendations for assistive devices. Pain is another important consideration, but it can often be reduced during dressing by using assistive devices.
穿衣是一项重要的日常生活活动，但许多老年人因身体功能受损而面临困难。本研究的目的是探讨有身体功能障碍的老年人对辅助装置的使用情况，并观察在穿衣方面没有困难、仅上肢穿衣困难、仅下肢穿衣困难以及上下肢穿衣均有困难的体弱老年人之间的差异。
我们对纽约西部和佛罗里达州北部1101名有日常生活活动和/或工具性日常生活活动受限的老年人进行了家访和功能评估。根据上肢穿衣和下肢穿衣的功能独立性测量项目得分，将参与者分为四组之一。使用描述性统计报告结果。
与女性相比，下肢穿衣困难的男性相对多于上肢穿衣困难的男性。上下肢穿衣均有困难的组报告的疼痛程度最高，在所有功能状态和精神状态测量中得分最低。最常用的穿衣辅助装置与下肢穿衣有关。
按上肢或下肢穿衣困难分组的老年人在性别、健康状况、功能状态和精神状态方面存在差异。结果表明，治疗师在治疗方法和辅助装置建议中应考虑性别和困难类型（上肢或下肢穿衣）等差异。疼痛是另一个重要考虑因素，但在穿衣过程中使用辅助装置通常可以减轻疼痛。
