Wong S F, Yap K B, Chan K M
Department of Geriatric Medicine, Alexandra Hospital, Singapore.
Ann Acad Med Singap. 1998 Jul;27(4):468-73.
Alexandra Hospital has the first day hospital for rehabilitation of the elderly in Singapore. To determine if functional skills and mobility improved significantly with a Day Hospital rehabilitation programme, and the factors influencing the outcome, a pre-test/post-test study was conducted on 30 male and 34 female patients discharged from the programme between 1 October 1995 and 30 June 1996. The Barthel Index was used to assess functional status and the Elderly Mobility Scale was used to assess mobility. All patients were assessed by trained therapists and scored on admission to and at discharge from the programme. We found a significant difference in the mean Barthel Index scores of 59.7 (SD 18.7) on admission and 71.4 (SD 20.5) at discharge (P < 0.001). The difference in the mean Elderly Mobility Scale of 7.1 (SD 4.3) on admission and 11.8 (SD 4.7) at discharge was also significant (P < 0.001). Improvement in functional skills and mobility were both inversely correlated with age. Multiple linear regression analysis showed that age and Barthel Index on admission were significant independent determinants of the Barthel Index at discharge, while age, Barthel Index and Elderly Mobility Score on admission significantly determined the Elderly Mobility Scale at discharge. This study showed that functional skills and mobility improved with rehabilitation in the elderly population, but younger and less severely disabled individuals tended to fare better.
亚历山德拉医院拥有新加坡首家老年康复日间医院。为了确定日间医院康复项目是否能显著改善老年人的功能技能和行动能力，以及影响治疗效果的因素，我们对1995年10月1日至1996年6月30日期间从该项目出院的30名男性和34名女性患者进行了一项前后测试研究。采用巴氏指数评估功能状态，采用老年人行动能力量表评估行动能力。所有患者均由训练有素的治疗师进行评估，并在入院时和出院时进行评分。我们发现，入院时巴氏指数平均得分为59.7（标准差18.7），出院时为71.4（标准差20.5），差异有统计学意义（P < 0.001）。入院时老年人行动能力量表平均分为7.1（标准差4.3），出院时为11.8（标准差4.7），差异也有统计学意义（P < 0.001）。功能技能和行动能力的改善均与年龄呈负相关。多元线性回归分析表明，年龄和入院时的巴氏指数是出院时巴氏指数的显著独立决定因素，而年龄、入院时的巴氏指数和老年人行动能力得分则显著决定了出院时的老年人行动能力量表。这项研究表明，老年人群通过康复治疗，功能技能和行动能力得到了改善，但年龄较小和残疾程度较轻的个体往往效果更好。
