Functional dependencies among the elderly on hemodialysis
Functional dependencies among the elderly on hemodialysis
复制标题
DOI：
10.1038/ki.2008.62
复制
发表时间：
2008-06-01
影响因子：
19.6
通讯作者：
Jassal, S. V.
中科院分区：
文献类型：
--
作者：
Cook, W. L.;Jassal, S. V.
随着透析人群的老龄化，他们在日常活动中的局限性影响了患者的健康，并增加了护理人员的负担和医疗服务的使用。在这项横断面研究中，我们测量了65岁及以上接受慢性门诊血液透析的患者中需要帮助进行日常活动的比例，并确定了这一人群的临床特征。他们在基本的自我照顾任务和工具性活动，如驾驶的性能依赖的Barthel和劳顿量表。使用logistic回归分析研究了四种基本活动中残疾与年龄、性别、教育、多种处方药需求、糖尿病、认知、抑郁症状和身体表现之间的关系。在162名平均年龄为75岁的男性参与者中，8人没有残疾，69人只有工具依赖，85人有混合残疾。多种处方药的需求，穷人的时间在“向上和去”的流动性表现，和教育水平与基本的依赖。我们的研究表明，自我护理能力的残疾是常见的老年血液透析患者。需要制定策略，定期识别有功能障碍风险的老年透析患者，并限制他们的残疾。
As the dialysis population ages, their limitations in performing daily activities affect the well-being of the patients as well as increase the burden on caregivers and the use of health services. In this cross-sectional study, we measured the proportion of patients 65 years and older undergoing chronic outpatient hemodialysis who needed help with day-to-day activities and identified the clinical characteristics of this population at most risk. Their dependence in performance of basic self-care tasks and instrumental activities such as driving were measured by the Barthel and Lawton Scales. Associations between disability in four basic activities to age, gender, education, multiple prescription drug needs, diabetes, cognition, depressive symptoms, and physical performance were examined using logistic regression. Of the 162 mostly male participants averaging 75 years old, eight had no disability, 69 had only instrumental dependence, and 85 had combined disability. Multiple prescription drug needs, poor timing in 'up-and-go' mobility performance, and education level were associated with basic dependency. Our study shows that the disability in self-care is common among older patients on hemodialysis. Strategies are needed to routinely identify those older dialysis patients at risk of functional impairment and to limit their disabilities.