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[80岁以上人群的功能能力]

[Functional ability in people above 80 years old].

作者信息

Monte Llavona C, Alonso Lorenzo J C, Cabal García A, Iglesias García A

机构信息

Centro de Salud, El Cristo, Oviedo.

出版信息

Aten Primaria. 1995 Feb 28;15(3):176-8.

PMID:7711224
Abstract

OBJECTIVE

To discover the functional capacity (CF) for population over 80 years assing to an health center.

DESIGN

This was an observational crossover study, using OARS questionary.

SETTING

An urban health center.

PATIENTS AND OTHER PARTICIPANTS

A sex and residence proportional sample of aged 80 and over was taken from 1986 census registry.

MEASUREMENTS AND MAIN RESULTS

To asses functional capacity we used ADL (Activities of daily living) dimension from OARS questionry. It's composed of 14 items, seven for basic activities of daily living (AVDb) and seven for instrumental activities (AVDi). We considered severe incapacity if the aged had some difficulty in one AVDb at lest; moderate incapacity if the showed only a trouble in some AVDi, and good CF if didn't show the least difficulty in any item. The 42.2% of aged had severe incapacity, 26% of population had got good CF. The most incapacity was watched in house-works and cooking; in the AVDb were sphincters and control and cleaniless corporal.

CONCLUSIONS

Functional capacity in population aged in the zone is lightly inferior to the other studies, however the ages chosen aren't comparable absolutely. We find differences in functional capacity between sex, the results are better for men. Population aged who is living in institutions have mainly CF moderate, and the married are more good functional capacity than singles or widows.

摘要

目的

了解某健康中心80岁及以上人群的功能能力(CF)。

设计

这是一项采用OARS问卷的观察性交叉研究。

地点

一个城市健康中心。

患者及其他参与者

从1986年人口普查登记册中抽取按性别和居住地比例的80岁及以上样本。

测量与主要结果

为评估功能能力,我们使用了OARS问卷中的日常生活活动(ADL)维度。它由14个项目组成,7个用于日常生活基本活动(AVDb),7个用于工具性活动(AVDi)。如果老年人至少在一项AVDb中有困难,我们认为是严重失能;如果仅在某些AVDi中有问题,则为中度失能;如果在任何项目中都没有丝毫困难,则为功能能力良好。42.2%的老年人有严重失能,26%的人群功能能力良好。家务和烹饪方面失能情况最为明显;在AVDb中,括约肌控制和身体清洁方面失能情况较为突出。

结论

该地区老年人群的功能能力略低于其他研究,但所选年龄并不完全可比。我们发现性别之间在功能能力上存在差异,男性结果更好。居住在机构中的老年人群功能能力主要为中度,已婚者的功能能力比单身或丧偶者更好。

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