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[日常生活活动能力多维性的复制:以台湾南部老年人为例]

[A replication of multidimensionality of activities of daily living(ADL): on the elderly in southern Taiwan].

作者信息

Hsiao S H, Chiu H C, Liu H W

机构信息

Research lab for the health care of the aged, Institute of Public Health, Kaohsiung Medical College, Taiwan, Republic of China.

出版信息

Gaoxiong Yi Xue Ke Xue Za Zhi. 1994 Aug;10(8):449-57.

PMID:7799466
Abstract

The purpose of the present study is to test whether Wolinsky and Johnson's declaration that activities of daily living (ADL) can be divided into three subdimension (basic, household, and advanced ADL), and whether these three dimensions could be replicated or not in Taiwan. Furthermore, to confirm the relationship of advanced ADL and cognitive function. The analyses were based on a sample of 790 respondents over 65 years of age who lived in the community of Southern Taiwan. Fourteen items were adopted from the ADL section of OARS Multidimensional Functional Assessment (OMFAQ, Chinese Version) for performing a confirmatory factor analysis. In addition, 10 items from the Short Portable Mental Status Questionnaire (SPMSQ) were selected for a zero-order correlation and regression analyses to examine the relationship between the advanced ADL and cognitive function. The results support Wolinsky & Johnson's assertion, but some items that are comprised in each factor structure, however, are not consistent with those in Wolinsky & Johnson's study, such as taking medicine, grooming, eating, shopping, and transporting. Significant correlation between advanced ADL and cognitive function was also confirmed in the study (r = 0.612, p < 0.05).

摘要

本研究的目的是检验沃林斯基和约翰逊的声明,即日常生活活动(ADL)是否可以分为三个子维度(基本ADL、家庭ADL和高级ADL),以及这三个维度在台湾是否可以复制。此外,还要确认高级ADL与认知功能之间的关系。分析基于790名居住在台湾南部社区的65岁以上受访者的样本。从OARS多维功能评估(OMFAQ,中文版)的ADL部分采用了14个项目进行验证性因素分析。此外,从简短便携式精神状态问卷(SPMSQ)中选择了10个项目进行零阶相关和回归分析,以检验高级ADL与认知功能之间的关系。结果支持沃林斯基和约翰逊的论断,然而,每个因素结构中包含的一些项目与沃林斯基和约翰逊研究中的项目不一致,如服药、修饰、进食、购物和出行。研究还证实了高级ADL与认知功能之间存在显著相关性(r = 0.612,p < 0.05)。

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