Department of Pharmacology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000 Kuala Lumpur, Malaysia.
Department of Orthopedics and Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000 Kuala Lumpur, Malaysia.
Int J Environ Res Public Health. 2018 May 16;15(5):1002. doi: 10.3390/ijerph15051002.
Fracture is a type of musculoskeletal injury that contributes to an inability to perform daily activities. The objective of this study was to evaluate activities of daily living (ADL) of older adult patients with lower body fracture and to determine factors influencing ADL. Patient's ADL was assessed at pre-fracture, ward admission and post-discharge phases using the Katz ADL questionnaire. There were 129 subjects at pre-fracture and ward phases and 89 subjects at discharge phase. There were four independent variables; age, gender, type of fracture and ability to walk before fracture. Logistic regression models showed that 'age' and 'ability to walk before fracture' were the determinant factors of dependent for 'bathing', 'dressing' and 'toileting'. The 'ability to walk before fracture' was the determinant factor of dependent for 'transferring'. 'Age' and 'gender' were the determinant factors of dependent for 'continence', while 'age' was the determinant factor of dependent for 'feeding'. The ADL score changes were significant across the phases with a reduction in ADL score in the ward admission phase and partial increment during the post-discharge phase. There were improvements in the health outcomes of subjects aged more than 50 years old after 3 months of being discharged from the hospital. In conclusion, age, being female, having a hip fracture and using a walking aid before fracture were the determinants identified in this study.
骨折是一种肌肉骨骼损伤，导致无法进行日常活动。本研究的目的是评估下肢骨折老年患者的日常生活活动（ADL），并确定影响 ADL 的因素。在骨折前、住院期间和出院后阶段，使用 Katz ADL 问卷评估患者的 ADL。骨折前和住院阶段有 129 名受试者，出院阶段有 89 名受试者。有四个独立变量；年龄、性别、骨折类型和骨折前行走能力。逻辑回归模型显示，“年龄”和“骨折前行走能力”是“洗澡”、“穿衣”和“如厕”的依赖因素。“骨折前行走能力”是“转移”的决定因素。“年龄”和“性别”是“尿失禁”的决定因素，而“年龄”是“进食”的决定因素。ADL 评分在各阶段均有显著变化，住院期间 ADL 评分下降，出院后部分评分增加。出院后 3 个月，50 岁以上患者的健康状况有所改善。总之，年龄、女性、髋部骨折和骨折前使用助行器是本研究确定的决定因素。
