Effect of preventive home visits for ambulatory housebound elders in Japan: a pilot study
Effect of preventive home visits for ambulatory housebound elders in Japan: a pilot study
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日本流动居家老年人预防性家访的效果：一项试点研究
DOI：
10.1007/bf03324554
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发表时间：
2004
影响因子：
4
通讯作者：
L. Rubenstein
中科院分区：
文献类型：
--
作者：
A. Kono;I. Kai;Chiyoko Sakato;J. Harker;L. Rubenstein
背景和目的：日本尚未建立针对流动居家老人的预防性家访计划。这项随机试点研究的目的是调查日本公共卫生护士进行此类访问的效果。方法：在日本的一个农业小镇进行了一项随机对照研究，随访18个月。参与者(n=119)是65岁及以上的活动居家老年人，他们在基线调查中能够行走，但每周外出不到三次。随机分为干预组(n=59)和对照组(n=60)。干预组受试者接受公共卫生护士18个月以上的预防性家访(平均家访=4.3次)。对照组受试者接受常规的初级护理和社区护理。在基线和18个月的随访点通过问卷调查收集日常生活能力(ADLS)、功能能力、日常活动自我效能、健康促进自我效能、抑郁和社会支持。结果：在随访时，81.4%的干预组受试者仍然住在家里，而对照组受试者(NS)的比例为73.3%。重复测量后的简单组比较(ANCOVA)显示，在随访时，干预组的日常生活能力得分高于对照组(p=0.044)。结论：这些试点结果表明，公共卫生护士的家访可能有助于减少非卧床居家老年人的ADL下降。
Background and aims: Programs of preventive home visits for ambulatory housebound elders have not yet become established in Japan. The aim of this randomized pilot study was to investigate effects of such visits by public health nurses in Japan. Methods: A randomized controlled study with 18-month follow-up was conducted in a small Japanese agricultural town. Participants (n=119) were ambulatory housebound elders aged 65 and over, who were able to walk but who went outdoors less than three times a week at baseline survey. They were randomly assigned to intervention (n=59) or control group (n=60). Intervention group subjects received preventive home visits by public health nurses over 18 months (mean home visits=4.3). Control group subjects received usual primary and community care. Activities of daily living (ADLs), functional capacity, self-efficacy for daily activities, self-efficacy for health promotion, depression, and social support were collected via questionnaire at baseline and at the 18-month follow-up point. Results: At follow-up, 81.4% of intervention group subjects were still living at home vs 73.3% of control group subjects (NS). Simple group comparisons following repeated measures (ANCOVA) showed that the intervention group had higher ADL scores than the control group at follow-up (p=0.044). Conclusions: These pilot results suggest that home visits by public health nurses may be effective in helping to reduce ADL decline among ambulatory housebound elders.
影响因子：
2.8
作者：
J. Sheikh;J. Yesavage
通讯作者：
J. Sheikh;J. Yesavage
DOI：
10.1093/gerona/59.3.m275
发表时间：
2004-03
期刊：
The journals of gerontology. Series A, Biological sciences and medical sciences
影响因子：
--
作者：
A. Kono;I. Kai;Chiyoko Sakato;L. Rubenstein
通讯作者：
A. Kono;I. Kai;Chiyoko Sakato;L. Rubenstein