Hinkka Katariina, Karppi Sirkka-Liisa, Pohjolainen Timo, Rantanen Taina, Puukka Pauli, Tilvis Reijo
Research Department, Social Insurance Institution, Turku, Finland.
J Rehabil Med. 2007 Jul;39(6):473-8. doi: 10.2340/16501977-0078.
To study the feasibility and 1-year effects on subjective health and symptoms of a network-based geriatric rehabilitation intervention for frail elderly people.
A randomized, controlled trial.
A total of 741 frail elderly people who lived at home, aged > 65 years, without severe cognitive impairment (Mini Mental State Examination < 18), and eligible to receive Pensioners' Care Allowance (a benefit that is independent of personal income or insurance). The setting included 41 municipalities and 7 rehabilitation centres in Finland.
Over a period of 8 months the intervention group received network-based rehabilitation for 3 in-patient periods (totalling 21 days) at rehabilitation centres and a home visit by a professional. Both groups received standard social and health services locally. Functional Independence Measure, subjective health, common symptoms and pain were assessed at baseline and 1-year follow-up.
After baseline measurements, 33 of those allocated to rehabilitation withdrew from the study. Of the 343 intervention subjects, 276 attended all 3 in-patient periods. At one year, there were no differences in symptoms between the groups. Subjective health was improved in the intervention group and impaired in the control group (p < 0.01).
The network-based geriatric rehabilitation programme was feasible for use among the frail elderly people and improved their subjective health.
研究基于网络的老年康复干预措施对体弱老年人主观健康状况和症状的可行性及1年效果。
一项随机对照试验。
共有741名居家生活的体弱老年人，年龄>65岁，无严重认知障碍（简易精神状态检查表<18），且符合领取养老金者护理津贴条件（该福利与个人收入或保险无关）。研究地点包括芬兰的41个市镇和7个康复中心。
在8个月的时间里，干预组在康复中心接受了3个住院期（共21天）的基于网络的康复治疗，并接受了专业人员的家访。两组均在当地接受标准的社会和健康服务。在基线和1年随访时评估功能独立性测量、主观健康状况、常见症状和疼痛情况。
在基线测量后，分配到康复组的33人退出了研究。在343名干预对象中，276人参加了所有3个住院期。1年后，两组之间的症状无差异。干预组的主观健康状况得到改善，而对照组则有所下降（p<0.01）。
基于网络的老年康复计划对体弱老年人是可行的，并改善了他们的主观健康状况。
