Balance self-efficacy in older adults following inpatient rehabilitation
Balance self-efficacy in older adults following inpatient rehabilitation
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DOI：
10.1097/mrr.0000000000000106
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发表时间：
2015-06-01
影响因子：
1.7
通讯作者：
Choy, Nancy L. Low
中科院分区：
文献类型：
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作者：
Kuys, Suzanne S.;Donovan, Jacquelin;Choy, Nancy L. Low
对住院康复出院的老年人进行调查，以确定出院后 1 个月自我效能的变化、与出院平衡表现和身体功能的关系以及诊断的影响。住院康复出院时招募了 101 名年龄超过 50 岁的成年人，其中 43% 为男性，平均年龄 75.84 (SD 9.8) 岁。出院时和出院后 1 个月使用特定活动平衡信心 (ABC) 量表评估平衡自我效能。出院时使用功能独立测量、老年人康复平衡结果测量、改良老年人活动量表和步态速度测量平衡和身体功能。出院时，平衡自我效能为中等（ABC 评分 62，SD 23），且随访时没有变化。按出院自我效能（ABC 评分：低 < 50；中 51-80；高 > 80）分组时，发现平衡（P=0.005）和身体功能（P=0.035）存在显着组间差异。在 1 个月的随访中，出院平衡自我效能感低的患者表现出改善（平均变化 ABC 得分 12，95% 置信区间 2-22），而出院平衡自我效能感高的患者得分较低（平均变化 ABC 评分 18，95% 置信区间 -8 至 -28）。诊断组之间的 ABC 变化评分也存在差异（F=3.740，P=0.03），骨科组有所改善（ABC 平均变化=8），而一般虚弱组则表现出置信度下降（ABC 平均变化=10）。出院后1个月平衡自我效能变化的差异与出院时的自我效能水平和需要康复的临床组有关。当患者准备出院时，临床医生需要了解这些变化。版权所有 (C) 2015 Wolters Kluwer Health, Inc. 保留所有权利。
Older adults discharging from inpatient rehabilitation were investigated to determine change in self-efficacy at 1 month after discharge, the relationship with discharge balance performance and physical function, and the influence of diagnosis. A prospective cohort of 101 adults older than 50 years of age, 43% men, average age 75.84 (SD 9.8) years, were recruited at discharge from inpatient rehabilitation. Balance self-efficacy was assessed using Activities-specific Balance Confidence (ABC) scale at discharge and 1 month following discharge. Balance and physical function were measured at discharge using the Functional Independence Measure, Balance Outcome Measure for Elder Rehabilitation, Modified Elderly Mobility Scale and gait speed. At discharge, balance self-efficacy was moderate (ABC score 62, SD 23) and did not change at follow-up. When grouped by discharge self-efficacy (ABC scores: low < 50; moderate 51-80; high > 80), significant between-group differences were found for balance (P=0.005) and physical function (P=0.035). At the 1-month follow-up, those with low discharge balance self-efficacy showed improvement (mean-change ABC score 12, 95% confidence interval 2-22) and those with high discharge balance self-efficacy had lower scores (mean-change ABC score 18, 95% confidence interval -8 to -28). Differences in ABC change scores were also found between diagnostic groups (F=3.740, P=0.03), with the orthopaedic group improving (ABC mean change=8) and the general frailty group showing a decrease in confidence (ABC mean change=10). The differences in balance self-efficacy change at 1 month following discharge were related to self-efficacy level at discharge and clinical group requiring rehabilitation. Clinicians need to be aware of these changes as patients are prepared for discharge. Copyright (C) 2015 Wolters Kluwer Health, Inc. All rights reserved.