台湾社区居住老年人中感知到的环境障碍与残疾的关系——一项基于人群的研究。
Relationship of perceived environmental barriers and disability in community-dwelling elderly in Taiwan--a population-based study.
作者信息
Lien Wei-Chih, Guo Nai-Wen, Chang Jer-Hao, Lin Yu-Ching, Kuan Ta-Shen
机构信息
Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
出版信息
BMC Geriatr. 2014 May 3;14:59. doi: 10.1186/1471-2318-14-59.
BACKGROUND
To identify the relationship between perceived environmental barriers and disability in community-dwelling elderly.
METHODS
Cross-sectional study in two community service centers in Tainan. We enrolled 200 community-dwelling residents, aged above 65 years, who had resided in the same community for at least 12 months. Basic activity of daily living (BADL) and instrumental activity of daily living (IADL) were assessed using the Hierarchy of Care Required (HCR). There were 59 participants in BADL disability and 109 in IADL disability. Perceived environmental barriers were assessed using the Craig Hospital Inventory of Environmental Factors (CHIEF). We used multinomial logistic regression to examine the relationship of perceived environmental barriers and disability.
RESULTS
The presence of perceived environmental barriers was related to BADL disability (OR = 4.39, 95% CI = 1.01-19.11) and IADL disability (IADL with difficulty in 1-2 tasks: OR = 9.93, 95% CI = 3.22-30.56; IADL with difficulty in more than 2 tasks: OR = 8.40, 95% CI = 1.83-38.51). The presence of physically/structurally perceived environmental barriers was related to BADL disability (OR = 4.90, 95% CI = 1.01-23.86) and IADL disability (IADL with difficulty in 1-2 tasks: OR = 4.61, 95% CI = 1.27-16.76; IADL with difficulty in more than 2 tasks: OR = 17.05, 95% CI = 2.82-103.30).
CONCLUSIONS
Perceived environmental barriers are related to disability in community-dwelling elderly.
背景
确定社区居住老年人中感知到的环境障碍与残疾之间的关系。
方法
在台南的两个社区服务中心进行横断面研究。我们招募了200名年龄在65岁以上、在同一社区居住至少12个月的社区居民。使用所需护理等级（HCR）评估日常生活基本活动（BADL）和日常生活工具性活动（IADL）。BADL残疾患者有59人，IADL残疾患者有109人。使用克雷格医院环境因素量表（CHIEF）评估感知到的环境障碍。我们使用多项逻辑回归来研究感知到的环境障碍与残疾之间的关系。
结果
感知到环境障碍与BADL残疾（比值比[OR]=4.39，95%置信区间[CI]=1.01-19.11）和IADL残疾（1-2项任务有困难的IADL：OR=9.93，95%CI=3.22-30.56；2项以上任务有困难的IADL：OR=8.40，95%CI=1.83-38.51）相关。感知到身体/结构方面的环境障碍与BADL残疾（OR=4.90，95%CI=1.01-23.86）和IADL残疾（1-2项任务有困难的IADL：OR=4.61，95%CI=1.27-16.76；2项以上任务有困难的IADL：OR=17.05，95%CI=2.82-103.30）相关。
结论
感知到的环境障碍与社区居住老年人的残疾有关。
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