[Cognitive function and basic activity of daily living of elderly disabled inpatients].
[Cognitive function and basic activity of daily living of elderly disabled inpatients].
复制标题
老年残疾住院患者认知功能及基本日常生活能力的调查[J].
DOI：
10.3143/geriatrics.37.225
复制
发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Kikuko Aso
中科院分区：
文献类型：
--
作者：
Y. Minemawari;Takamasa Kato;Kikuko Aso
采用日本最低生活质量评定量表(MDS)、西村心理量表(NM)、日常生活能力量表(N-ADL)、认知功能量表、基本日常生活能力量表(ADL)及护理评定量表(日常生活自由等级：N1)，探讨各类基础疾病致残的临床特点。我们于1998年4月对926例长期住院的老年残障住院患者进行了床边护理频度和营养功能(血清白蛋白：SA)的评估。基础疾病分为5组：脑血管病(C组)、老年性痴呆(D组)、骨关节病(B组)、帕金森病(P组)和其他疾病(O组)。(1)在所有患者中，女性明显比男性大2.9岁。疾病组的平均年龄以B>、D>、C>；P依次递减。(2)在所有患者和C患者中，年龄与各量表(NM、N-ADL、N1、SA)得分呈显著负相关。在D和B患者中，只有年龄与N-ADL和N1呈显著负相关，而与NM和SA无关。在P患者中，年龄与各量表之间无相关性。(3)认知功能评分显著降低，B>、C>、P>；D、ADL评分显著降低，B>、D>、C>；P。在D型患者中，仅ADL、SA两项得分之间呈显著正相关，而在B型患者中，SA与其他得分之间无相关性。(5)由于在所有患者和所有疾病组中，MDS的认知和ADL得分分别与NM和N-ADL得分呈显著正相关，因此MDS评估的认知和ADL量表可用于评估老年残疾患者的认知功能和ADL，可能是评估老年残疾患者的合适工具。其他各种功能状态也应在老年残疾患者中进行评估，在做出包括护理在内的医疗干预决策时，患者的生活质量必须优先于其他考虑因素。我们应该详细讨论护理，并继续进行更多的医学研究，以提高护理的质量。
To elucidate the clinical characteristics of disability due to various basic disease groups, by using Japanese Minimum Data Set (MDS), Nishimura's mental scale (NM) and activity of daily living scale (N-ADL), cognitive function and basic activity of daily living (ADL) together with the grading scale of nursing care (freedom-grade of daily living: N1. frequency of bedside visits by a nurse: N2) and nutritional function (serum albumin: SA) were assessed in 926 elderly disabled inpatients in April 1998 in our long-stay chronic care hospital. Basic diseases were divided into five groups: cerebrovascular (C), senile dementia (D), bone and joint (B), Parkinson's disease (P) and other diseases (O). (1) In all patients, women were 2.9 years significantly older than men. Mean age in disease groups was significantly greater in the following decreasing order, B > D > C > P. (2) In all patients and patients with C, significant negative correlations were found between age and the scores of various scales (NM, N-ADL, N1, SA). In patients with D and B, significant negative correlations were found only between age and N-ADL and N1, but not NM or SA. In patients with P, no correlations were found between age and the various scales. (3) The cognitive function score decreased significantly as follows, B > C > P > D and the score of ADL decreased significantly as follows, B > D > C > P. (4) In patients with C and P, significant positive correlations were found between 3 scores (Cognition, ADL, SA). In patients with D, significant positive correlation was found between only two scores (ADL, SA) and in patients with B, no correlations were found between SA and other scores. (5) Because in all patients and in patients with all disease groups, significant positive correlations were found between the scores of cognition, ADL by MDS and the scores of NM, N-ADL respectively, the scales of cognition and ADL evaluated by MDS were validated for us to assess cognitive function and ADL and are probably suitable tools for evaluating elderly disabled patients. The other various functional states should also be assessed in elderly disabled patients where the quality of life of the patients must take priority over other considerations in decision making for medical interventions, including care. We should discuss care in detail and continue more medical studies to improve the quality of care.