在社区居住的老年人中,从残疾中恢复
1Department of Internal Medicine, Yale University School of Medicine, New Haven, Conn, USA. susan.hardy@yale.edu
JAMA
|April 8, 2004
概括
大多数新增残疾的老年人重新获得独立性,但恢复通常是暂时的. 需要进一步的干预措施来帮助这个高危人群保持功能.
科学领域:
- 老年学是指老年学的学科.
- 康复科学 康复科学 康复科学
- 公共卫生 公共卫生
背景情况:
- 相当数量的老年人经历了暂时失去独立功能.
- 由于评估间隔较长,以前的研究在准确确定恢复率和持续时间方面遇到了挑战.
研究的目的:
- 确定新残疾老年人的日常生活独立活动 (ADLs) 恢复速度和时间.
- 评估恢复的持续时间并比较不同子组的恢复概率.
主要方法:
- 一项前性队列研究,涉及754名70岁以上最初没有残疾的社区居民.
- 每月的电话采访评估ADL残疾,每18个月对健康因素进行全面评估.
主要成果:
- 56%的参与者经历了残疾; 81%的人在12个月内康复.
- 康复往往是短暂的,57%的人至少保持了6个月的独立性.
- 认知障碍,虚弱和严重残疾与较低的康复率有关,尽管大多数子组显示康复.
结论:
- 在新残疾的老年人中,独立ADL功能的恢复比以前报告的更频繁.
- 维持独立后的恢复是一个挑战,强调需要进行干预,以保持这一群体的功能.
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