The influence of personal care and assistive devices on the measurement of disability
The influence of personal care and assistive devices on the measurement of disability
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DOI：
10.1016/s0277-9536(98)00369-4
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发表时间：
1999-02-01
影响因子：
5.4
通讯作者：
Agree, EM
中科院分区：
文献类型：
--
作者：
Agree, EM
所有长期护理安排的目标都是减少身体损伤和功能限制造成的残疾影响。然而，个人应对残疾的方式可能并不相同，这些差异可能会影响调查中对残疾的自我报告。本文利用 1994 年美国老年人资产和健康动态调查 (AHEAD)，研究了辅助设备和个人护理作为社区 70 岁及以上老年人残疾测量的因素。辅助技术的使用在根本上不同于个人护理。它不需要其他人的持续合作或协调，因此增加了残疾人能够满足其长期护理需求的独立感。结果表明，老年人预计将在余下的大部分时间里保持良好的功能健康，但多达三分之二的残疾岁月将在日常生活活动需求未得到满足的情况下度过。在残疾人中，仅使用设备而不使用个人护理的人报告的残余行动困难比使用个人协助（单独或与设备结合）的人要少，但单独使用设备对于那些限制最轻的人来说是最有效的。 (C) 1998 Elsevier Science Ltd. 保留所有权利。
The goal of all long-term care arrangements is to reduce the disabling effects of physical impairments and functional limitations. However, the means with which individuals cope with disability may not be equivalent and these differences may influence self-reports of disability in surveys. This paper examines assistive devices and personal care as factors in the measurement of disability among persons aged 70 and older in the community using the 1994 Survey of Asset and Health Dynamics of the Oldest Old (AHEAD) in the US. The use of assistive technology differs from personal care on a fundamental level. It does not require the ongoing cooperation or coordination of other people and therefore increases the sense of independence with which a disabled individual can meet their long-term care needs. Results indicate that older individuals can expect to spend most of their remaining years in good functional health, but up to two-thirds of disabled years will be spent with unmet ADL needs. Among those who are disabled, those who use only equipment and no personal care report less residual difficulty with mobility than those who use personal assistance (either alone or in combination with equipment) but the use of equipment alone is most effective for those with the least severe limitations. (C) 1998 Elsevier Science Ltd. All rights reserved.