Whittle H, Goldenberg D
Parkwood Hospital, London, Ontario, Canada.
J Adv Nurs. 1996 Feb;23(2):220-7. doi: 10.1111/j.1365-2648.1996.tb02660.x.
The purpose of this descriptive correlational study was to examine the relationship between functional health status and the performance of instrumental activities of daily living (IADL) in a group of noninstitutionalized elderly people. A convenience sample of 47 subjects who were 70 years of age or older participated by completing three questionnaires: the Health Status Questionnaire, the Multidimensional Functional Assessment IADL Scale and a demographic questionnaire. Lawton's (1985) theoretical model of person-environment interaction provided the conceptual framework for the study. Three functional status variables reached statistical significance (0.001) with IADL performance: social functioning (r = -0.6045); health perception (r = -0.6984); and physical functioning (r = -0.6635) suggesting that these are important indicators of overall health status, and that a decline in each could contribute to increased IADL dependency. The IADLs of housekeeping, shopping, and transportation correlated significantly (0.001) with functional health status, implying that, as health declines in elderly people, they may require more assistance with IADLs, in order to remain more independent in the community. The results have implications for nursing administrators and nursing educators with regard to developing health promotion strategies related to independence of elderly people, community health and social policy.
这项描述性相关性研究的目的是调查一组非机构化老年人的功能健康状况与日常生活工具性活动（IADL）表现之间的关系。47名70岁及以上的受试者组成的便利样本参与了研究，他们通过填写三份问卷来完成：健康状况问卷、多维功能评估IADL量表和一份人口统计学问卷。劳顿（1985年）的人-环境互动理论模型为该研究提供了概念框架。三个功能状态变量与IADL表现达到了统计学显著性（0.001）：社会功能（r = -0.6045）；健康认知（r = -0.6984）；身体功能（r = -0.6635），这表明这些是总体健康状况的重要指标，并且每一项的下降都可能导致IADL依赖性增加。家务、购物和交通等IADL与功能健康状况显著相关（0.001），这意味着，随着老年人健康状况下降，他们可能需要更多的IADL协助，以便在社区中保持更高的独立性。这些结果对于护理管理人员和护理教育工作者在制定与老年人独立性、社区健康和社会政策相关的健康促进策略方面具有启示意义。
