早衰、曾无家可归成年人的家庭安全跌倒及事故风险
Home Safety Fall and Accident Risk Among Prematurely Aging, Formerly Homeless Adults.
作者信息
Gutman Sharon A, Amarantos Kevin, Berg Jan, Aponte Melissa, Gordillo Daniela, Rice Christopher, Smith Jonathan, Perry Anna, Wills Tamara, Chen Ethan, Peters Richard, Schluger Zachary
机构信息
Sharon A. Gutman, PhD, OTR, FAOTA, is Professor of Rehabilitation and Regenerative Medicine, Programs in Occupational Therapy, Columbia University Medical Center, New York, NY;
Kevin Amarantos, MS, OTR, Jan Berg, MS, OTR, Melissa Aponte, MS, OTR, Daniela Gordillo, MS, OTR, Christopher Rice, MS, OTR, Jonathan Smith, MS, OTR, Anna Perry, MS, OTR, Tamara Wills, MS, OTR, Ethan Chen, MS, OTR, Richard Peters, MS, OTR, and Zachary Schluger, MS, OTR, are Occupational Therapists, Programs in Occupational Therapy, Columbia University Medical Center, New York, NY.
出版信息
Am J Occup Ther. 2018 Jul/Aug;72(4):7204195030p1-7204195030p9. doi: 10.5014/ajot.2018.028050.
OBJECTIVE
Homelessness prematurely ages people. A large subgroup of formerly homeless adults between ages 40 and 64 yr have health conditions similar to or worse than people categorized as elderly. Little is known about the impact of this group's chronic health conditions on their ability to safely function in supportive housing.
METHOD
Home safety visits were carried out with 25 formerly homeless adults, ages 40-64 yr, now residing in supportive housing.
RESULTS
Participants had physical, cognitive, and mental health problems that significantly interfered with their ability to perform daily life skills, safely function in an apartment, and manage chronic health conditions. Home safety hazards included cluttered walking paths, the presence of steps, and the lack of grab bars and nonskid flooring.
CONCLUSION
The homeless population would benefit from aging specialists, such as occupational therapists, who could help people to maintain and function more safely in their homes. Without such services, this population may be at risk for home safety events leading to hospitalization and mortality.
目的
无家可归会使人过早衰老。年龄在40至64岁之间的一大群曾经无家可归的成年人，其健康状况与被归类为老年人的人相似或更差。关于这群人的慢性健康状况对他们在支持性住房中安全生活能力的影响，人们了解甚少。
方法
对25名年龄在40至64岁之间、现居住在支持性住房中的曾经无家可归的成年人进行了家庭安全访问。
结果
参与者存在身体、认知和心理健康问题，这些问题严重妨碍了他们进行日常生活技能、在公寓中安全生活以及管理慢性健康状况的能力。家庭安全隐患包括行走路径杂乱、有台阶、缺少扶手和防滑地板。
结论
无家可归者群体将受益于老年病专家，如职业治疗师，他们可以帮助人们在家中更安全地生活和活动。如果没有此类服务，这一群体可能面临导致住院和死亡的家庭安全事件风险。
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