Meeting the needs of elderly with bathing disability
Meeting the needs of elderly with bathing disability
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DOI：
10.1111/j.1440-1630.2010.00904.x
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发表时间：
2011-06-01
影响因子：
1.8
通讯作者：
Bernspang, Birgitta
中科院分区：
文献类型：
--
作者：
Zingmark, Magnus;Bernspang, Birgitta
背景/目的：老年人经常出现洗澡困难，这与社会支持需求的增加有关。由于失去独立性对健康和福祉产生负面影响，因此研究能够为人们提供所需支持的干预措施非常重要。职业治疗干预措施可以提高客户的能力，使他们能够自己洗澡，从而减少对其他更长期的社会支持的需求，例如家庭帮助。在这项研究中，两组老年人洗澡困难进行了比较，在干预组的客户从事职业therapy.Methods：一个准实验非等效的对照组设计，其中参与者报告洗澡困难，连续从两个城市招募。干预组的客户定期接受职业治疗，而对照组的客户接受家庭帮助洗澡的帮助。日常生活，生活质量和家庭帮助分配的活动进行了评估，在基线和15 weeks.Results后：在干预组的客户平均收到不到三个家访，与大多数的干预措施包括分级活动和使用一个令人鼓舞的方法。70%的干预措施是适应性的。两组的日常生活活动和生活质量的改善，但被分配到一个家庭help.Conclusion的差异显着：职业治疗干预似乎有益的支持老年人成为独立的家庭帮助洗澡，但结果必须谨慎解释，因为有组之间的基线差异。
Background/aims:Difficulties with bathing are frequent among older people and are associated with an increasing need for societal support. As loss of independence has a negative impact on health and wellbeing, it is important to study interventions that can provide the required support for people to be able to remain independent. Occupational therapy interventions can improve clients' abilities enabling them to bathe themselves, thus reducing the need for other, more long-term societal support from, e.g. a home help. In this study, two groups of elderly people with difficulties in bathing were compared; the clients in the intervention group were engaged in occupational therapy.Methods:A quasi-experimental non-equivalent control group design was used, in which participants with reported difficulties in bathing were recruited consecutively from two municipalities. The clients in the intervention group routinely received occupational therapy, whereas clients in the control group received assistance from a home help for bathing. Activities of daily living, quality of life and home-help allocation were assessed at the baseline and after 15 weeks.Results:Clients in the intervention group received less than three home visits on average, with majority of interventions consisting of graded activity and the use of an encouraging approach. Seventy per cent of the interventions were adaptive. Activities of daily living and quality of life of both groups improved, but the differences of being allocated a home help were significant.Conclusion:Occupational therapy interventions seem beneficial in terms of supporting older people in becoming independent of home help in bathing but the results must be interpreted with caution as there were differences at baseline between the groups.