Coping with activities of daily living in different care settings
Coping with activities of daily living in different care settings
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DOI：
10.1093/ageing/30.6.489
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发表时间：
2001-11-01
期刊：
影响因子：
6.7
通讯作者：
Kauppinen, M
中科院分区：
文献类型：
--
作者：
Laukkanen, P;Karppi, P;Kauppinen, M
目的：以日常生活活动能力为定义，量度在不同健康及福利护理机构接受照顾的长者的功能能力。我们使用万年青日常生活活动指数评估了芬兰中部（n=5652）在健康中心医院或疗养院或接受家庭护理和家庭帮助服务的所有年龄大于或等于65岁的人，结果：几乎所有的受试者都获得了功能能力的评估结果：只有33份表格（0.6%）的数据不完整。接受家庭护理的妇女的平均日常生活活动总分（0-54分）最低（17.3分），在保健中心医院接受长期护理的妇女最高（48.4分）。低分表示功能良好，高分表示功能差。年龄没有表现出任何的护理settings.Conclusion：万年青日常生活指数的活动与平均活动的日常生活总和得分是容易使用，并成功地区分在不同的护理设置的人。将老年人分配到不同环境的政策似乎是合理和明智的，因为主要的界定标准是功能能力水平而不是年龄。
Objective: to measure the functional capacity of elderly people cared for in different health and welfare care settings, with functional capacity defined in terms of activities of daily living.Subjects and methods: we assessed all people aged greater than or equal to65 in health-centre hospitals or nursing homes or receiving home nursing and home help services in Central Finland (n=5652) using the Evergreen activities of daily living index, which comprises nine physical and nine instrumental activities of daily living.Results: assessments of functional capacity were obtained for nearly all subjects: only 33 forms (0.6%) were returned with incomplete data. The mean activities of daily living sum score (range 0-54) was lowest for women receiving home nursing (17.3), and highest for women in long-term care at health-centre hospitals (48.4). Low scores described good and high scores poor functional capacity. Age showed no association with the mean activities of daily living sum score in any of the care settings.Conclusion: the Evergreen activities of daily living index was easy to use and successfully distinguishes between people in different care settings. Policies of assigning older people to different settings appear to be sound and sensible as the main defining criterion is level of functional capacity rather than age.