コミュニティに住む高齢者の障害からの回復
1Department of Internal Medicine, Yale University School of Medicine, New Haven, Conn, USA. susan.hardy@yale.edu
JAMA
|April 8, 2004
まとめ
新しく障害を持つ高齢者のほとんどは独立を取り戻しますが,回復はしばしば一時的です. この高リスク集団の機能を維持するために,さらなる介入が必要である.
科学分野:
- ゲロントロジーはゲロントロジーの学科です.
- リハビリテーション・サイエンス・サイエンス
- 公衆衛生は公衆衛生である.
背景:
- 大多数の高齢者は,一時的に独立した機能の喪失を経験します.
- 以前の研究では,評価の間隔が長いため,回復率と持続時間を正確に決定することに問題がありました.
研究 の 目的:
- 新しく障害を持つ高齢者の日常生活の独立活動 (ADLs) の回復率と時間を決定する.
- 回復の期間を評価し,さまざまなサブグループで回復の可能性を比較する.
主な方法:
- 754人の70歳以上で,当初障害のないコミュニティに住む個人を含む前向きなコホート研究です.
- 毎月の電話インタビューでADL障害の評価を行い,18ヶ月ごとに健康要因の包括的な評価を行いました.
主要な成果:
- 参加者の56%が障害を経験し,81%が12ヶ月以内に回復しました.
- 回復はしばしば短期間であり,57%が少なくとも6ヶ月間独立を維持した.
- 認知障害,弱さ,重度の障害は,回復率の低下と関連していたが,ほとんどのサブグループは回復を示した.
結論:
- 新しく障害を持つ高齢者の独立性ADL機能の回復は,以前に報告されたより頻繁に起こります.
- 独立後の回復を維持することは,この集団の機能を維持するための介入の必要性を強調する課題です.
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