Measuring the outcomes of day hospital attendance: a comparison of the Barthel Index and London Handicap Scale
Measuring the outcomes of day hospital attendance: a comparison of the Barthel Index and London Handicap Scale
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DOI：
10.1191/0269215500cr346oa
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发表时间：
2000-10-01
影响因子：
3
通讯作者：
Ebrahim, S
中科院分区：
文献类型：
--
作者：
Harwood, RH;Ebrahim, S
目的：评估两种量表衡量老年日间医院就诊效果的能力。设计：“前后”测量。设置：日间医院为特定的城市服务区域提供服务。受试者：三个月内连续一百零三名新患者。干预：只要多学科团队认为有必要，日间医院就诊。结果测量：巴塞尔指数和伦敦障碍量表。结果：76 名患者(74%) 参加了广义的“康复”。其中 54 项已完成 Barthel 指数和伦敦差点量表的测量。 37 名患者出院后进行了重复测量。患者就诊次数在 2 至 57 次之间，中位数为 8 次。平均巴塞尔指数在出勤期间没有变化。平均差点分数略有改善。事后确定了 8 名参加 10 次或以上疗程的患者，他们的残障平均水平大幅降低。结论：总体而言，巴塞尔指数和伦敦残障量表在日间医院就诊期间都没有太大变化。一般来说，出席时间很短可能解释了这一点。对于就诊时间较长的患者（可能预计会发生更多变化），伦敦障碍量表比巴塞尔指数更敏感。
Objective: To assess the ability of two scales to measure the effects of attendance at a geriatric day hospital.Design: 'Before-and-after' measurements.Setting: Day hospital serving a defined, urban, catchment area.Subjects: One hundred and three consecutive new patients over a three-month period.Intervention: Day hospital attendance for as long as the multidisciplinary team thought warranted.Outcome measures: Barthel Index and London Handicap Scale.Results: Seventy-six patients (74%) attended for broadly defined 'rehabilitation'. Measurements on the Barthel Index and London Handicap Scale were completed on 54 of these. Repeat measurements after discharge from the day hospital were achieved on 37 patients. Patients attended between two and 57 times, with a median of eight. Mean Barthel Index did not change over the period of attendance. There was a small improvement in mean handicap score. Eight patients were identified post hoc who attended for 10 or more sessions, and they experienced a large mean reduction in handicap.Conclusion: Overall, neither the Barthel Index nor the London Handicap Scale changed much during attendance at the day hospital. Generally very short lengths of attendance may have explained this. For patients with more prolonged attendance, who might be expected to change more, the London Handicap Scale proved more responsive than the Barthel Index.