Saito Hiroyuki, Sato Miyuki, Kobayashi Masaki, Saito Toru, Shimura Takafumi, Yotsumoto Kentaro, Hanai Yota, Tanizaki Yoshio, Usuda Shigeru
Geriatrics Research Institute and Hospital: 3-26-8 Ootomo-machi, Maebashi-shi, Gunma 371-0847, Japan.
Gunma University Graduate School of Health Sciences, Japan.
J Phys Ther Sci. 2023 Mar;35(3):223-229. doi: 10.1589/jpts.35.223. Epub 2023 Mar 1.
[Purpose] To identify predictors of life-space mobility in patients with fracture three months after discharge from convalescent rehabilitation ward. [Participants and Methods] This is a prospective longitudinal study that included patients aged 65 or older with a fracture who were scheduled for discharge home from the convalescent rehabilitation ward. Baseline measurements included sociodemographic variables (age, gender, and disease), the Falls Efficacy Scale-International, maximum walking speed, the Timed Up & Go test, the Berg Balance Scale, the modified Elderly Mobility Scale, the Functional Independence Measure, the revised version of Hasegawa's Dementia Scale, and the Vitality Index up to two weeks before discharge. As a follow-up, the life-space assessment was measured three months after discharge. In the statistical analysis, multiple linear and logistic regression analyses were performed with the life-space assessment score and the life-space level of "places outside your town" as dependent variables. [Results] The Falls Efficacy Scale-International, the modified Elderly Mobility Scale, age, and gender were selected as predictors in the multiple linear regression analysis, whereas in the multiple logistic regression analysis, the Falls Efficacy Scale-International, age, and gender were selected as predictors. [Conclusion] Our study emphasized the importance of fall-related self-efficacy and motor function for life-space mobility. The findings of this study suggest that when considering post-discharge living, therapists should conduct an appropriate assessment and adequate planning.
[目的] 确定骨折患者从康复疗养病房出院三个月后生活空间移动性的预测因素。[参与者与方法] 这是一项前瞻性纵向研究,纳入了65岁及以上计划从康复疗养病房出院回家的骨折患者。基线测量包括社会人口统计学变量(年龄、性别和疾病)、国际跌倒效能量表、最大步行速度、计时起立行走测试、伯格平衡量表、改良老年人活动量表、功能独立性测量、修订版长谷川痴呆量表以及出院前两周内的活力指数。作为随访,在出院三个月后测量生活空间评估。在统计分析中,以生活空间评估得分和“城镇以外地区”的生活空间水平作为因变量进行多元线性和逻辑回归分析。[结果] 在多元线性回归分析中,国际跌倒效能量表、改良老年人活动量表、年龄和性别被选为预测因素,而在多元逻辑回归分析中,国际跌倒效能量表、年龄和性别被选为预测因素。[结论] 我们的研究强调了与跌倒相关的自我效能和运动功能对生活空间移动性的重要性。本研究结果表明,在考虑出院后的生活时,治疗师应进行适当的评估和充分的规划。