Saito Takashi, Matsui Nobuko, Watanabe Shuichiro
Visiting Nursing Station Happiness Care, Japan.
Department of Physical Therapy, Tokyo College of Allied Medicine, Japan.
J Phys Ther Sci. 2017 May;29(5):914-920. doi: 10.1589/jpts.29.914. Epub 2017 May 16.
[Purpose] The newly developed Functional Independence and Difficulty Scale is a tool for assessing the performance of basic activities of daily living in terms of both independence and difficulty. The aim of this study was to examine the predictive validity of the scale for decline of instrumental activities of daily living ability and multiple falls during a 24-month follow-up period. [Subjects and Methods] One-hundred forty older adults (median age 74.0, 60% women) completed baseline data collection and a follow-up postal survey. At baseline, background variables, the Functional Independence and Difficulty Scale, and instrumental activities of daily living ability assessed by the five sub-items of Tokyo Metropolitan Institute of Gerontology Index of Competence were recorded. At follow-up, data on instrumental activities of daily living ability and falls in the previous 12 months were obtained. [Results] Of the 140 participants, 15 (10.7%) declined in instrumental activities of daily living ability and 14 (10.0%) experienced multiple falls. The Functional Independence and Difficulty Scale at baseline independently predicted decline of instrumental activities of daily living ability and multiple falls. [Conclusion] The Functional Independence and Difficulty Scale predicts subsequent decline of instrumental activities of daily living ability and multiple falls.
[目的] 新开发的功能独立性与困难程度量表是一种用于从独立性和困难程度两方面评估日常生活基本活动表现的工具。本研究的目的是检验该量表对24个月随访期内日常生活工具性活动能力下降和多次跌倒的预测效度。[对象与方法] 140名老年人（中位年龄74.0岁，60%为女性）完成了基线数据收集和随访邮寄调查。在基线时，记录背景变量、功能独立性与困难程度量表，以及通过东京都老人综合研究所能力指数的五个子项目评估的日常生活工具性活动能力。在随访时，获取了前12个月内日常生活工具性活动能力和跌倒的数据。[结果] 在140名参与者中，15人（10.7%）日常生活工具性活动能力下降，14人（10.0%）经历了多次跌倒。基线时的功能独立性与困难程度量表可独立预测日常生活工具性活动能力下降和多次跌倒。[结论] 功能独立性与困难程度量表可预测随后日常生活工具性活动能力下降和多次跌倒。
