居家医疗护理中与日常生活活动能力下降相关的因素。
Factors associated with decline in activities of daily living in home-based medical care.
作者信息
Nagae Masaaki, Umegaki Hiroyuki, Komiya Hitoshi, Watanabe Kazuhisa, Yamada Yosuke
机构信息
Department of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Department of Emergency Room and General Medicine, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan.
出版信息
Nagoya J Med Sci. 2025 Feb;87(1):173-177. doi: 10.18999/nagjms.87.1.173.
We sought to explore factors associated with changes in activities of daily living (ADL) in home-based medical care (HBMC). We used data from the Observational Study of Nagoya Elderly with Home Medical Care 2, in which HBMC was provided for physical and/or mental disability. ADL were assessed using the Barthel Index and its mobility and self-care categories. Of 40 eligible participants, half were classified into an ADL decline group. The percentage with a decreased Mini-Nutritional Assessment-Short Form (MNA-SF) score was significantly higher in the ADL decline group. Worsening of MNA-SF was significantly associated with a decline in the mobility category but not in the self-care category. ADL decline was frequently observed and was associated with worsening of nutritional status in HBMC.
我们试图探究居家医疗护理（HBMC）中与日常生活活动（ADL）变化相关的因素。我们使用了名古屋居家医疗护理老年观察研究2的数据，该研究为身体和/或精神残疾者提供HBMC。使用巴氏指数及其活动能力和自我护理类别对ADL进行评估。在40名符合条件的参与者中，一半被归类为ADL下降组。ADL下降组中，简易营养评估简表（MNA-SF）得分降低的百分比显著更高。MNA-SF恶化与活动能力类别下降显著相关，但与自我护理类别下降无关。在HBMC中经常观察到ADL下降，且其与营养状况恶化有关。
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