Brooks L L, Wertsch J J, Duthie E H
Medical College of Wisconsin.
Wis Med J. 1994 Jan;93(1):16-20.
Our study examined the use of devices for mobility by the elderly. We looked at whether the device was prescribed, who prescribed it, and how it was obtained. Seventy elderly people, age 75 years or older, who were current users of canes, walkers, or wheelchairs were interviewed. Seventy-one percent of the devices had been prescribed. The prescribed devices were chosen 45% of the time by physical therapists, 32.5% by physicians, and 22.5% by nurses. An exceptionally high percentage of wheelchair users (93%) in the skilled care facility may reflect economics (wheelchair and standard walkers are provided free) and perceived socialization benefits. This study shows that many elderly begin using devices for mobility on their own (94.3%). Clinicians need to be alert to these non-prescribed devices to assure their appropriateness and safe use.
我们的研究调查了老年人使用助行设备的情况。我们研究了设备是否是经处方配备的、由谁开具的处方以及设备是如何获得的。对70名75岁及以上、目前正在使用手杖、助行器或轮椅的老年人进行了访谈。71%的设备是经处方配备的。物理治疗师开具处方选择设备的比例为45%,医生为32.5%,护士为22.5%。在专业护理机构中,轮椅使用者的比例极高(93%),这可能反映了经济因素(轮椅和标准助行器是免费提供的)以及感知到的社交益处。这项研究表明,许多老年人自行开始使用助行设备(94.3%)。临床医生需要留意这些非处方设备,以确保其适用性和安全使用。