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Study to determine Necessity of QOL and ADL Evaluation and Care of Institutionalized Senile Elderly

机构老人生活质量和日常生活能力评估及护理必要性研究

基本信息

批准号：
02454500
负责人：
MITOH Takako
金额：
$ 2.18万
依托单位：
University of Tokyo
依托单位国家：
日本
项目类别：
Grant-in-Aid for General Scientific Research (B)
财政年份：
1990
资助国家：
日本
起止时间：
1990 至 1992
项目状态：
已结题

项目摘要

We have been involved in the observation of the daily activities of elderly patients suffering from senility in this institution, used conducted a study of evaluation methods and have in these Observation. Having used the Multi-dimensional observation Scale for Elderly Subjects (MOSES) in preliminary evaluations, we determined that there were problems in evaluating the areas of excretion, eating and physical movement. Therefore, we decided to draw up a revised noses and put it to use in evaluation. Items covered in evaluation are as follows:1)Ability to care for oneself, 2)level of disorientation, 3)level of depression,4) level of ill- temperament, and 5)level of self-isolation, as well as excretion and eating. Subject in the study were patients with all types of physical, psychological, and communication handicaps who had difficulty receiving care in their own homes, however patients that were permanently bed-ridden, suffered periods of unconsciousness or were unable to communicate we … More re excluded.Looking at ADL ability, over 80% of the patients showed increasing difficulty with excretion, yet deterioration in good intake rates was comparatively light. Additionally, patients' ability to dress or bathe themselves was quite low, but physical movement seemed to be at least partially maintained. Disorientation and self-isolation was quite high, yet depression and ill temperament were at a low rate and seemed to be controlled.The senile elderly observed during this period showed the highest need of care, and it was determined that evaluation of their care needs would be difficult using ordinary methods, therefore a revised care need evaluation scale was created in the final year of the study. The application and adequacy of the new scale will be a topic for future discussion. In addition, changes in the physical condition of the patients were monitored, and it was found that a significant decrease in BMI became evident from 3 months before a patients becoming bed-ridden. We were able to use a BMI score of equal or less than 17 or 18 coupled with a 5-6% loss of body weight as a signal of impending problems. The sleep-awake rhythms of the patients were also checked with an electroencephalogram. Brain waves during waking hours showed an increase in slow wave, yet sleep patterns proved to be short and light, therefore periods of sleep were also short. Less

我们参与了对该机构中患有老年病的老年患者的日常活动的观察，使用进行了评估方法的研究，并在这些观察中进行了研究。在初步评估中使用了老年人多维观察量表（MOSES），我们确定在评估排泄、进食和身体运动方面存在问题。因此，我们决定制定一个修订的鼻子，并把它用于评估。评估所涵盖的项目如下：1）照顾自己的能力，2）定向障碍水平，3）抑郁水平，4）不良气质水平，和5）自我隔离水平，以及排泄和进食。研究对象是有各种生理、心理和沟通障碍的患者，他们在自己家里接受护理有困难，然而，长期卧床不起的患者，会经历一段时间的无意识或无法与我们交流。 ...更多信息从日常生活活动能力来看，80%以上的患者表现为排泄困难增加，但良好摄入率的恶化相对较轻。此外，患者自己穿衣或洗澡的能力相当低，但身体活动似乎至少部分得以维持。定向障碍和自我隔离是相当高的，而抑郁症和不良气质的发生率较低，似乎是控制。在此期间观察到的老年人表现出最高的护理需求，并确定，他们的护理需求的评估将是困难的，使用普通的方法，因此，修订的护理需求评估量表，在研究的最后一年。新比额表的适用性和适当性将是今后讨论的一个议题。此外，监测患者身体状况的变化，发现患者在卧床前3个月BMI显著降低。我们能够使用BMI评分等于或小于17或18加上体重减轻5-6%作为即将出现问题的信号。患者的睡眠-清醒节律也用脑电图检查。清醒时的脑电波显示出慢波的增加，但睡眠模式被证明是短而轻的，因此睡眠时间也很短。少