White E G, Mulley G P
Department of Medicine, St James's University Hospital, Leeds.
Age Ageing. 1989 Jul;18(4):276-8. doi: 10.1093/ageing/18.4.275.
We have assessed foot problems of, and chiropody provision for, 96 people aged 80 years and over who were living at home. Seventy-seven per cent had difficulty cutting their toenails and 30% complained of pain in the feet. The commonest foot problems were corns or callus, abnormal nails, hallux valgus and other toe abnormalities. Only six subjects had normal healthy feet. Of the 47 people receiving chiropody, two-thirds were being seen privately. Private chiropody tended to be performed in the home and was more frequent than National Health Service (NHS) treatment. Fifteen subjects needed but were not having chiropody. Foot problems are common in the very old. We suggest that doctors and nurses should ask old people regularly about problems cutting nails and pain in the feet. At present the provision of chiropody for old people is inadequate and ways of improving foot care must be found.
我们评估了96位居家生活的80岁及以上老人的足部问题以及足部护理服务情况。77%的老人在修剪趾甲时存在困难，30%的老人抱怨足部疼痛。最常见的足部问题是鸡眼或胼胝、指甲异常、拇外翻及其他脚趾异常。只有6位老人足部健康正常。在接受足部护理服务的47人中，三分之二是接受私人护理。私人足部护理往往是上门服务，且比国民医疗服务体系（NHS）的治疗更为频繁。15位老人需要足部护理服务但未得到。足部问题在高龄老人中很常见。我们建议医生和护士应定期询问老人修剪趾甲的问题及足部疼痛情况。目前为老人提供的足部护理服务不足，必须找到改善足部护理的方法。
