Stott D J, Dutton M, Williams B O, MacDonald J
Gartnavel General Hospital, Glasgow.
Health Bull (Edinb). 1990 Jan;48(1):17-24.
Functional capacity and mental status were assessed in 821 patients in long-term care in West Glasgow. In geriatric medical long-term care only five (1.3%) out of 387 patients were independent in activities of daily living (walking, transfers from bed and chair, dressing, toileting, urinary and faecal continence) and were not severely mentally impaired (AMT score greater than 6/10); in psychogeriatric care n = 6/143 (4.2%) in private nursing homes n = 6/66 (9.1%) and in residential care n = 100/235 (42.6%). Patients in geriatric medical care had a greater prevalence of immobility and urinary incontinence but less mental impairment than those in psychogeriatric care. Nearly all patients placed in geriatric medical or psychogeriatric care had major functional disability or mental impairment. The level of disability was less in private nursing than in geriatric medical care. Although 57% of those in residential care required some assistance or supervision in activities of daily living or had severe mental impairment, 86% were independent in walking and 83% were continent of urine. The implications of these findings for the provision of care for physically and mentally frail elderly are discussed.
对格拉斯哥西部821名长期护理患者的功能能力和精神状态进行了评估。在老年医学长期护理中，387名患者中只有5名（1.3%）在日常生活活动（行走、从床和椅子上转移、穿衣、如厕、大小便失禁）方面能够自理，且没有严重的精神障碍（简易精神状态检查表得分大于6/10）；在老年精神病护理中，这一比例为6/143（4.2%），在私立疗养院中为6/66（9.1%），在寄宿护理中为100/235（42.6%）。老年医学护理患者的行动不便和尿失禁患病率更高，但精神障碍比老年精神病护理患者少。几乎所有接受老年医学或老年精神病护理的患者都有严重的功能残疾或精神障碍。私立疗养院的残疾程度低于老年医学护理。虽然57%的寄宿护理患者在日常生活活动中需要一些帮助或监督，或有严重的精神障碍，但86%的患者能够独立行走，83%的患者大小便失禁。本文讨论了这些发现对为身体和精神虚弱的老年人提供护理的意义。
