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老年人居家护理中的日常生活活动能力评估。日常生活活动能力的变化及短期住院护理的使用情况。

Assessment of ADL in home-care for the elderly. Change in ADL and use of short-term hospital care.

作者信息

Asberg K H

出版信息

Scand J Soc Med. 1986;14(2):105-11.

PMID:2939557
Abstract

In order to study the value of Katz' Index of ADL (Activities of Daily Living) for monitoring ADL-status among elderly persons receiving home-care, and to study their use of short-term hospital care, 40 consecutive recipients of a home-care subsidy in a health service district were followed during a period of six months. A licensed practical nurse visited them monthly, assessed their ADL-performance, and recorded their use of short-term hospital care. Twenty-seven persons changed in ADL-grade: 8 improved, 13 deteriorated, and 6 changed temporarily between the first and the final observation. Twenty-one persons were admitted to short-term hospital care; 19 of these changed in ADL-grade. The medical conditions that motivated hospital admission were serious and required hospital resources. The Index of ADL was found to monitor changes in ADL-status and is used today as a common language of disability between caretakers in the home and in hospital care.

摘要

为研究卡茨日常生活活动指数(ADL)在监测接受居家护理的老年人日常生活活动状况方面的价值,以及研究他们对短期住院护理的使用情况,在六个月的时间里对某健康服务区连续40名获得居家护理补贴的受助者进行了跟踪。一名执业护士每月探访他们,评估其日常生活活动表现,并记录他们对短期住院护理的使用情况。27人在日常生活活动等级上发生了变化:8人改善,13人恶化,6人在首次和最后观察之间出现暂时变化。21人接受了短期住院护理;其中19人在日常生活活动等级上发生了变化。促使住院的医疗状况较为严重,需要医院资源。发现日常生活活动指数可监测日常生活活动状况的变化,如今它被用作居家护理人员和住院护理人员之间通用的残疾语言。

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The cost-effectiveness of rehabilitation in the home: a study of Swedish elderly.家庭康复的成本效益:一项针对瑞典老年人的研究。
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