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[老年日间诊所与康复]

[Geriatric day clinics and rehabilitation].

作者信息

Summa J D, Horn J, Platt D

出版信息

Fortschr Med. 1989 Oct 30;107(31):650-4.

PMID:2591845
Abstract

If the present development of our population is not to result in a continued increase in care-requiring elderly people, the building and expansion of geriatric rehabilitation institutions is a matter of urgency. Numerous studies, some of which carried out in our own country, show how successful geriatric rehabilitation can be. Prerequisites are, apart from appropriately equipped facilities, the proper selection of those requiring care, adequate numbers of properly qualified personnel, and early initiation of any treatment needed. Thus, 70 to 80% of those originally scheduled for admission to an old persons' nursing home can be enabled to live more or less independently at home. Apart from geriatric hospitals, geriatric day clinics offer optimal possibilities for rehabilitation. They combine therapeutic effectiveness and economy with the advantage that, during treatment, the elderly person is not completely taken out of his familiar surroundings, which results in an improvement in his motivation to get well again quickly. At the same time, complicating diseases, such as, for example, diabetes mellitus, can be treated under conditions closely similar to those of the patient's subsequent day-to-day situation. In this sense, geriatric day clinics are not only desirable, but urgently needed institutions.

摘要

如果我们目前的人口发展趋势不导致需要护理的老年人持续增加,那么建设和扩建老年康复机构就迫在眉睫。许多研究,其中一些是在我们自己国家进行的,表明老年康复可以取得多么显著的成效。除了设施配备得当之外,先决条件还包括对需要护理者的正确筛选、足够数量的合格人员以及尽早开展所需的任何治疗。因此,原本计划入住养老院的老人中有70%至80%能够或多或少地在家中独立生活。除了老年医院之外,老年日间诊所提供了最佳的康复可能性。它们将治疗效果和经济性结合在一起,其优点是在治疗期间,老年人不会完全脱离熟悉的环境,这会提高他尽快康复的积极性。同时,诸如糖尿病等并发症可以在与患者随后日常情况非常相似的条件下进行治疗。从这个意义上说,老年日间诊所不仅是理想的,而且是急需的机构。

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