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老年患者与健康相关生活质量(HRQoL)的功能评估。

Functional assessment of geriatric patients in regard to health-related quality of life (HRQoL).

作者信息

Muszalik Marta, Kornatowski Tomasz, Zielińska-Więczkowska Halina, Kędziora-Kornatowska Kornelia, Dijkstra Ate

机构信息

Clinic of Geriatrics, Nicolaus Copernicus University Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland.

Department of Preventive Medicine and Environmental Health, Nicolaus Copernicus University Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland.

出版信息

Clin Interv Aging. 2014 Dec 19;10:61-7. doi: 10.2147/CIA.S72825. eCollection 2015.

Abstract

PURPOSE

The main aim of our research was to evaluate general health, functioning, and performance parameters, as well as care problems of Geriatric Clinic inpatients in relation to deficits in fulfilling needs. The assessment of health-related quality of life was also performed.

PATIENTS AND METHODS

The research subjects were patients attending the Clinic of Geriatrics: 149 women and 78 men; 227 persons in total. The research was carried out using a diagnostic poll method, with the application of the Activities of Daily Living questionnaire of assessment of daily efficiency on the basis of the Katz index, the Instrumental Activities of Daily Living questionnaire, the Care Dependency Scale used to measure the level of care dependency and human needs, and the Nottingham Health Profile scale.

RESULTS

The results showed that the majority of respondents achieved high and medium levels of functional capability. The main problems associated with the fulfillment of needs were difficulties with the adoption of appropriate body posture, movement restrictions, and problems related to participating in unassisted leisure activities outside the home. The general deficit in fulfilling the needs of the patients was low. The most significant problems were related to sleep disorders, restrictions in freedom of movement, loss of vital energy, and ailments resulting in the observable presence of pain.

CONCLUSION

Good daily functioning of elderly patients significantly depended on their intellectual and mental efficiency. Elderly patients require a comprehensive, holistic approach to a variety of problems that occur with aging.

摘要

目的

我们研究的主要目的是评估老年门诊住院患者的总体健康状况、功能和表现参数,以及与需求未得到满足相关的护理问题。还进行了与健康相关的生活质量评估。

患者与方法

研究对象为老年病科门诊患者:149名女性和78名男性,共227人。研究采用诊断性问卷调查法,应用基于卡茨指数的日常生活活动效率评估问卷、工具性日常生活活动问卷、用于衡量护理依赖程度和人类需求的护理依赖量表以及诺丁汉健康概况量表。

结果

结果显示,大多数受访者的功能能力达到中高水平。与需求满足相关的主要问题是难以采取适当的身体姿势、行动受限以及与在家外独立参与休闲活动相关的问题。患者需求满足方面的总体不足较低。最显著的问题与睡眠障碍、行动自由受限、活力丧失以及导致明显疼痛的疾病有关。

结论

老年患者良好的日常功能很大程度上取决于他们的智力和心理效率。老年患者需要针对衰老过程中出现的各种问题采取全面、整体的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2318/4279673/ab747b0d199f/cia-10-061Fig1.jpg

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