Wahl H W
Z Gerontol. 1987 Mar-Apr;20(2):66-73.
The concept of disability has gained importance in geriatric research and practice. There is now insight into the impairing function not only of illness but also of its consequences for an autonomous and satisfactory way of life. The aim of the study reported here was to elucidate the relationships of old age disabilities and other potentially important factors such as physical and psychiatric impairments as well as demographic characteristics. A representative sample of old people in an urban community (Mannheim, F.R.G.) was the target population of this study. The results demonstrate--above all--a significant correlation between reduction in motor skill capacity and disability in carrying out activities of daily living. Psychiatric impairment--in particular organic psychiatric disorders--play a role as well. Old people with both physical and psychiatric impairments are the most disabled of the sample and must be considered a high-risk group for the loss of independent living.
残疾的概念在老年医学研究与实践中日益重要。如今,人们不仅深入了解了疾病的损害功能,还了解了其对自主且满意生活方式的影响。本文所报告研究的目的是阐明老年残疾与其他潜在重要因素之间的关系,这些因素包括身体和精神障碍以及人口统计学特征。德国曼海姆市一个城市社区的老年人代表性样本是本研究的目标人群。结果表明——最重要的是——运动技能能力的下降与日常生活活动能力的残疾之间存在显著相关性。精神障碍——尤其是器质性精神障碍——也起到了一定作用。身体和精神都有障碍的老年人是样本中残疾程度最高的,必须被视为独立生活丧失的高危人群。