Maas H A, Hoogmoed J, Golüke-Willemse G A, van den Berg Y W
Algemeen Psychiatrisch Ziekenhuis, Vincent van Gogh Instituut, Venray.
Ned Tijdschr Geneeskd. 1995 Dec 2;139(48):2494-8.
To evaluate the course of the functional ability in daily living activities, mobility and faecal and urinary continence, and the interrelationship of these features of ability in patients admitted to the geriatric unit of a psychiatric hospital (GAPZ).
Retrospective.
Geriatric unit, Vincent van Gogh Institute of Psychiatry, Venray, the Netherlands.
Analysis of data obtained from the National Register of Clinical Gerontology from SIG Care Information in Utrecht. For all patients discharged in 1992 the level of functional ability on admission and discharge was determined and compared, using 9 variables.
During the stay all but one of the functional status variables improved significantly: washing of upper and lower body, dressing, going to the toilet, eating, urinary (in)continence and mobility (as measured by radius of action and assistance needed). Faecal incontinence did not improve. On average women functioned more independently than men; however, the improvement in functional status was equal for both sexes. There was a hierarchical decline in the event of decreased functional ability. This hierarchical relationship was more prominent at the time of discharge than at the time of admission.
On average the functional status of the patients evaluated improved during their stay in the geriatric unit of the psychiatric hospital. There appears to be a hierarchy of changes in aspects of functional condition irrespective of the underlying diseases in elderly people.
评估入住精神病医院老年病房（GAPZ）患者的日常生活活动功能能力、活动能力以及粪便和尿液失禁情况，以及这些能力特征之间的相互关系。
回顾性研究。
荷兰文雷市文森特·梵高精神病学研究所老年病房。
分析从乌得勒支SIG护理信息中心的国家临床老年医学登记处获得的数据。对于1992年出院的所有患者，使用9个变量确定并比较入院时和出院时的功能能力水平。
住院期间，除一项功能状态变量外，其他所有变量均有显著改善：上半身和下半身洗漱、穿衣、上厕所、进食、尿液失禁情况以及活动能力（通过活动半径和所需协助来衡量）。粪便失禁情况没有改善。平均而言，女性比男性功能更独立；然而，男女功能状态的改善程度相同。功能能力下降时存在分层现象。这种分层关系在出院时比入院时更为明显。
总体而言，接受评估的患者在精神病医院老年病房住院期间功能状态有所改善。无论老年人的基础疾病如何，功能状况各方面似乎都存在变化层次。
