Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Israel.
Department of Occupational Therapy, Sheba Medical Center, Tel Hashomer, Israel.
J Appl Gerontol. 2022 Aug;41(8):1896-1904. doi: 10.1177/07334648221089481. Epub 2022 May 11.
Function after acute hospitalization is mostly operationalized by Basic Activities of Daily Living (BADL), a limited concept that overshadows a wide range of instrumental, social, and recreational activities, otherwise referred to as participation. Participation is important for patients' health and quality of life after hospitalization. This study focuses on high-functioning older adults, examining functional recovery after hospitalization by comparing BADL assessment with assessment of participation at one and three months following discharge relative to pre-hospitalization. Quantitative data were collected from 72 participants divided into two age groups of hospitalized older adults (age 65-74, = 38; age ≥75, = 34), followed by home visits after 1 month and telephone interviews 3 months after discharge. Both groups experienced a significantly greater decline in participation, compared with BADL, which were mostly preserved. A comprehensive assessment of participation better captures functional changes in high-functioning older adults. Early identification of participation withdrawal is crucial for preventing disability.
急性住院后的功能主要通过日常生活基本活动（BADL）来操作化，这是一个有限的概念，掩盖了广泛的工具性、社会性和娱乐性活动，否则称为参与。参与对于患者出院后的健康和生活质量很重要。本研究关注高功能的老年人，通过比较出院后 1 个月和 3 个月的 BADL 评估与参与评估与住院前相比，来检查住院后的功能恢复情况。从 72 名住院老年人中收集了定量数据，分为两个年龄组（65-74 岁，n=38；≥75 岁，n=34），然后在出院后 1 个月进行家访，3 个月后进行电话访谈。与基本日常生活活动相比，两组老年人的参与度都明显下降，而基本日常生活活动则大多保持不变。全面评估参与度可以更好地捕捉高功能老年人的功能变化。早期识别参与度下降对于预防残疾至关重要。
