De Lepeleire J
Academisch Centrum Huisartsgeneeskunde, Kapucijnenvoer 33 blok J 3000 Leuven.
Tijdschr Gerontol Geriatr. 2006 Mar;37(1):4-8.
Problems with instrumental activities of daily living are important in the caring for elderly people, in general practice as well. Impairment in activities and instrumental activities of daily living may be important indicators for early dementia. This study explored how people aged 65 years and over in general practice are performing on four instrumental activities of daily living.
General practitioners screened all people, aged 65 years and over, and meeting the inclusion criteria, they met during a period of one month. Personalia, instrumental activities of daily living and cognitive functioning were registered.
Twentytwo general practitioners included 1003 persons, with a mean age of 75 year. The majority of this group (81.6%) was rather autonomous. The main cause of functional impairment were transport problems. Cognitive functioning and functional loss were correlated.
Elderly people in general practice function better than is generally assumed. This phenomenon has important consequences for training and functioning of GPs as to the evaluation of activities of daily living. The fundamental role of IADL assessment therefore needs attention in the professional development of GPs.
日常生活工具性活动方面的问题在照顾老年人中很重要，在全科医疗中也是如此。日常生活活动和工具性活动的受损可能是早期痴呆的重要指标。本研究探讨了全科医疗中65岁及以上人群在四项日常生活工具性活动中的表现。
全科医生对在一个月期间遇到的所有65岁及以上且符合纳入标准的人进行筛查。记录个人信息、日常生活工具性活动和认知功能。
22名全科医生纳入了1003人，平均年龄为75岁。该组大多数人（81.6%）相当自主。功能受损的主要原因是交通问题。认知功能和功能丧失相关。
全科医疗中的老年人功能比一般认为的要好。这种现象对于全科医生在日常生活活动评估方面的培训和功能有重要影响。因此，在全科医生的专业发展中需要关注工具性日常生活活动评估的基本作用。
