Department of General Practice/General Practice Research Unit, Institute of Health and Society, University of Oslo, Norway.
J Rehabil Med. 2011 Apr;43(5):461-4. doi: 10.2340/16501977-0792.
To assess the outcome of rehabilitation of older patients in a district rehabilitation centre.
Prospective observational study.
A total of 202 patients aged ≥ 65 years rehabilitated at a Norwegian district inpatient rehabilitation centre, referred from district hospital, nursing homes or their own homes. Diagnoses were: stroke, arthrosis, hip fracture and other chronic diseases.
Admission: according to rehabilitation potential.
multidisciplinary team including an experienced general practitioner.
Sunnaas Activities of Daily Living (ADL) Index (SI).
Umea Life Satisfaction Checklist (LSC). Cognitive (Mini-Mental State Examination (MMSE)), emotional (Symptom Check List-10) and marital status, residence, length of stay and hours/week private and home care services were recorded.
SI increased significantly during the mean 3.1 weeks stay (mean 4.2, 95% confidence interval 3.5, 4.8), p<0.001), persisting after 3 months. Eighty-four percent of patients scored satisfied according to LSC after rehabilitation. SI at discharge (adjusted for SI at admission) was predicted by MMSE and type of residence. Seventy-four percent of the patients needed home care services <3 h/week, at discharge and 3 months later.
Significant and persisting improvements in activities of daily living may be achieved by rehabilitation of older patients with stroke, arthrosis, hip fracture and other chronic diseases in a district inpatient rehabilitation centre with co-ordinated and multi-disciplinary rehabilitation.
评估地区康复中心老年患者康复的结果。
前瞻性观察研究。
202 名年龄≥65 岁的患者在挪威地区住院康复中心接受康复治疗，这些患者是从地区医院、疗养院或他们自己的家中转来的。诊断为：中风、关节炎、髋部骨折和其他慢性疾病。
入院：根据康复潜力。
多学科团队，包括有经验的全科医生。
Sunnaas 日常生活活动（ADL）指数（SI）。
于默奥生活满意度检查表（LSC）。记录认知（简易精神状态检查（MMSE））、情绪（症状清单-10）和婚姻状况、居住地点、住院时间和每周私人及家庭护理服务时间/小时。
在平均 3.1 周的住院期间（平均 4.2，95%置信区间 3.5，4.8），SI 显著增加，p<0.001），并在 3 个月后持续增加。根据 LSC，84%的患者在康复后评分满意。出院时的 SI（根据入院时的 SI 进行调整）由 MMSE 和居住类型预测。74%的患者在出院时和 3 个月后需要每周<3 小时的家庭护理服务。
在地区住院康复中心，通过协调和多学科的康复，可以使患有中风、关节炎、髋部骨折和其他慢性疾病的老年患者的日常生活活动能力显著且持续改善。
