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[老年日托护理模式:一项为期六个月的多学科医疗保健项目中的功能效应]

[The Geriatric Day-Care assistance mode: functional effects in a six month multidisciplinary health care program].

作者信息

Franciulli Sandra Elizabeth, Ricci Natalia Aquaroni, Lemos Naira Dutra, Cordeiro Renata Cereda, Gazzola Juliana Maria

机构信息

Departamento de Medicina, Disciplina de Geriatria e Gerontologia, UNIFESP-EPM, São Paulo SP.

出版信息

Cien Saude Colet. 2007 Mar-Apr;12(2):373-80. doi: 10.1590/s1413-81232007000200013.

Abstract

UNLABELLED

The objective is to describe the functional capacity of elderly patients who took part in a six-month follow-up program at a geriatric day care center. The methods used were a six-month observation clinical study. The following tools were used to assess fourteen elderly patients over 80 years old at admission at the day care and for six months thereafter: Brazilian OARS Multidimensional Functional Assessment Questionnaire (daily life activities), Mini-Mental State Exam (cognition), Berg Balance Scale (functional balance evaluation) and Timed Up and Go Test (mobility). Data were analyzed using descriptive statistics and Wilcoxon and paired-samples T tests to verify statistical differences over time, a=0.05. The results showed significant differences between assessment and reassessment of the global functional capacity scores (p=0.019) and postural transfer balance-related ability (p=0.041), showing improvement over time. After follow-up, scores related to the other variables remained unchanged.

CONCLUSION

multidisciplinary health care at the geriatric day care center reinforced improvements or maintenance of the participants functional capacities, proving to be a promising alternative health care mode for the elderly.

摘要

未标注

目的是描述在老年日间护理中心参加为期六个月随访项目的老年患者的功能能力。所采用的方法是为期六个月的观察性临床研究。使用以下工具在入院时及此后六个月对14名80岁以上的老年患者进行评估:巴西OARS多维功能评估问卷(日常生活活动)、简易精神状态检查表(认知)、伯格平衡量表(功能平衡评估)和定时起立行走测试(活动能力)。使用描述性统计以及威尔科克森检验和配对样本t检验对数据进行分析,以验证随时间的统计差异,α = 0.05。结果显示,整体功能能力得分的评估与重新评估之间(p = 0.019)以及与姿势转移平衡相关能力之间(p = 0.041)存在显著差异,表明随时间有所改善。随访后,与其他变量相关的得分保持不变。

结论

老年日间护理中心的多学科医疗保健加强了参与者功能能力的改善或维持,证明是一种有前景的老年替代医疗保健模式。

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