Functional recovery among elderly people one year after hip fracture surgery.
Functional recovery among elderly people one year after hip fracture surgery.
复制标题
老年人髋部骨折术后一年的功能恢复。
作者：
P. Lin;Su
本研究的目的是随访老年髋部骨折患者术后1年的日常生活活动能力（ADL）和工具性日常生活活动能力（IADL）的恢复情况，了解影响功能恢复的因素。这项为期一年的研究的信息是通过入院后第一周、出院时、骨折后三个月和一年的结构化访谈获得的。研究对象为台北市某医学中心103位65岁以上，因跌倒造成股骨颈骨折及股骨粗隆间骨折的老人。结果如下：大多数情况下，老年人ADL和IADL在随访的一年内无法恢复到骨折前的状态，最快的恢复期是在出院后3个月内。在ADL方面，骨折前分别有93.2%、74.8%和约90%的患者可以行走、爬楼梯和照顾自己（进食、进食、穿衣），但髋部骨折后1年分别只有70.9%、49.1%和约75%的患者可以行走、爬楼梯和照顾自己。在IADL方面，骨折前73.8%的患者能在户外行走，而骨折后1年仅58.2%的患者能在户外行走。影响髋部骨折后一年内ADL恢复的因素是骨折前的户外行走能力。对ADL总变异的解释率为39.7%. IADL的显著预测因素包括骨折前做家务、婚姻状况和使用助行器。这些项目解释了IADL总变异的56.1%。研究结果指出老年人髋部骨折后的功能下降，并建议重视以医院为基础的多学科干预和出院的重要性
The purposes of the present study were to follow up on the recovery of activities of daily living (ADL) and instrumental activities of daily living (IADL) one year after hip fracture in elderly people and to understand the factors that affect functional recovery. Information for this one-year study was obtained through structured interviews during the first week after admission, at discharge, three months and one year after fracture. One hundred and three elderly people over 65 years old, with femoral neck fractures and intertrochanteric fractures due to falling down were recruited from a medical center in Taipei. The results were as follows: In most cases, ADL and IADL in elderly people could not be recovered to the status before fracture in the one-year period of follow-up; the most rapid recovery period was within three months after discharge. In terms of ADL before fracture, 93.2 %, 74.8 %, and about 90 % of patients could walk, climb stairs, and take care of themselves (feeding, toileting, dressing), respectively; however, only 70.9 %, 49.1 % and about 75 % of patients respectively could walk, climb stairs and take care of themselves one year after hip fracture. As for IADL, 73.8 % of patients could walk outdoors before fracture, but only 58.2 % could walk outdoors one year after fracture. The factor on which ADL recovery within one year after hip fracture depended was the ability to walk outdoors before fracture. It explained 39.7 % of total variance in ADL. As for IADL, significant predictors included doing housework, marital status and use of walking aids before fracture. These items explained 56.1% of total variance in IADL. The findings point to the functional decline of elderly people after hip fracture and suggest the importance of focusing on hospital-based multidisciplinary interventions and discharge
DOI：
10.1093/gerona/55.9.m498
发表时间：
2000-09-01
影响因子：
5.1
作者：
Magaziner, J;Hawkes, W;Kenzora, J
通讯作者：
Kenzora, J
髋部骨折后康复治疗的自我效能和功能恢复。
DOI：
10.1097/00004356-200209000-00011
发表时间：
2002
期刊：
International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation
影响因子：
--
作者：
Fortinsky,RichardH;Bohannon,RichardW;Litt,MarkD;Tennen,Howard;Maljanian,Rose;Fifield,Judith;Garcia,RamonI;Kenyon,Lisa
通讯作者：
Kenyon,Lisa