Peach H, Pathy M S
Thorax. 1981 Aug;36(8):585-9. doi: 10.1136/thx.36.8.585.
Chronic bronchitis is a common reason for admitting an old person to hospital. Government statistics measure the impact of admission only in terms of mortality. A follow-up study of disability among the elderly admitted to hospital wih an exacerbation of chronic bronchitis is described. One month after discharge about 30% of patients were unable to walk as far on the flat or climb as many steps as they did before admission and 90% were unable to do all previous household chores or social activities. After a further two months, although the proportion of patients unable to do all previous household chores or social activities had decreased significantly the proportion with restricted ambulation or ability to climb stairs had not decreased. The proportion of patients admitting to anxiety or depression and being dissatisfied with their progress also remained high. We conclude that there is a need for graduated rehabilitation programmes, which have been shown to increase the walking distance of elderly bronchitics, to be extended to cover all aspects of disability and for home rehabilitation to become an integral part of the care of all elderly bronchitics discharged from hospital.
慢性支气管炎是老年人住院的常见原因。政府统计数据仅从死亡率方面衡量住院的影响。本文描述了一项对因慢性支气管炎急性加重而住院的老年人残疾情况的随访研究。出院后一个月，约30%的患者在平地上行走的距离不如入院前远，或爬楼梯的步数不如入院前多，90%的患者无法完成之前所有的家务或社交活动。再过两个月后，虽然无法完成之前所有家务或社交活动的患者比例显著下降，但行走受限或爬楼梯能力受限的患者比例并未下降。承认有焦虑或抑郁情绪以及对自己康复情况不满意的患者比例也仍然很高。我们得出结论，需要将已被证明能增加老年支气管炎患者行走距离的分级康复计划扩展到涵盖残疾的所有方面，并使家庭康复成为所有出院老年支气管炎患者护理的一个组成部分。
