The Nursing Home Life‐Space Diameter

The Nursing Home Life‐Space Diameter
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疗养院生活空间直径

DOI:
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发表时间:
1990
影响因子:
6.3
通讯作者:
S. Ginter
S. Ginter
中科院分区:
医学1区
文献类型:
--
作者:
M. Tinetti;S. Ginter

文献摘要

被引文献

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我们开发了护理之家生活空间直径(NHLSD)作为衡量熟练护理机构(SNF)居民流动程度和频率的指标。在SNF居民的小样本中评估了评估者和评估者之间的可靠性。然后,在12个SNF的398名居民中确定NHLSD评分的均值和范围、与NHLSD评分相关的特征以及NHLSD评分与其他功能特征之间的关联。NHLSD评分范围为0分(表示卧床或坐轮椅)至50分(表示每天离开机构)。两名护士NHLSD评分的相关系数为0.951,两个时间点评分的相关系数为0.922。398名受试者的平均得分为27.05。视力下降、存在神经系统疾病和关节炎均与较低的NHLSD评分相关。活动性(NHLSD)评分与其他功能特征(如参与社会活动)中度相关(斯皮尔曼相关性= +0.565)。NHLSD是对SNF居民流动性的一种简单可靠的评估,可用于评估干预措施的效果,并监测SNF居民的变化。
We developed the Nursing Home Life‐Space Diameter (NHLSD) as a measure of the extent and frequency of mobility among skilled nursing facility (SNF) residents. Intrarater and interrater reliability was assessed in a small sample of SNF residents. The means and ranges of NHLSD scores, the characteristics associated with NHLSD score, and the association between NHLSD score and other functional characteristics were then determined among 398 residents of 12 SNFs. NHLSD scores ranged from 0, signifying bed‐ or chair‐bound to 50, signifying leaving the facility daily. The correlation between NHLSD scores by two nurses was 0.951; the correlation between scores at two points of time was 0.922. Mean score among the 398 subjects was 27.05. Decreased vision, presence of a neurologic disease, and arthritis were all associated with lower NHLSD score. Mobility (NHLSD) score was moderately correlated with other functional characteristics such as participation in social activities (Spearman's correlation = +0.565). The NHLSD, which represents a simple and reliable assessment of mobility among SNF residents, could be used to assess the effect of interventions and to monitor changes among SNF residents.