頁籤選單縮合
題 名 | 居家物理治療成效:以高雄市社區居民為基礎之初步調查報告=Effect of Home Physical Therapy: A Preliminary Report Based on Community Study in Kaohsiung City |
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作 者 | 楊舜顯; 林卷立; 林昭宏; 陳昆鴻; 吳汀原; 曾芸家; | 書刊名 | 物理治療 |
卷 期 | 37:4 2012.12[民101.12] |
頁 次 | 頁329-337 |
分類號 | 418.996 |
關鍵詞 | 居家物理治療; 長期照顧; 日常生活功能; 肌力; Home physical therapy; Long-term care; Activities of daily living; Muscle strength; |
語 文 | 中文(Chinese) |
中文摘要 | 背景與目的:近幾年台灣居家物理治療服務需求因緣「長期照顧十年計劃」的推動而有所發展。本研究目的是調查接受長期照顧十年計劃之居家物理治療服務個案狀況,並且進一步評估居家物理治療成效。方法:調查研究對象來自民國100 年期間經高雄市長照中心照管專員轉介高雄市物理治療師公會長照團隊接受居家物理治療個案,並以至少接受完成六次以上居家物理治療個案進行成效評估。結果:100年度接受居家物理治療個案共計221位,其中141位至少接受六次以上居家物理治療並且完成治療前後成效評量。利用配對t檢定相關個案巴氏量表(初評:27.9±29.9;複評36.5±33.5;p<.05)與Motricity量表下肢主要肌肉群肌力得分前後比較(46.4±27.4 vs. 55.6±29.31,p<.05),統計上皆呈現顯著差異。測量簡易版伯格氏平衡量表得分和個案5公尺行走速度能力可治療前後並未達統計上顯著差異。結論:現行「長期照顧十年計劃給予六次以上居家物理治療對於改善個案日常生活功能和增進下肢主要肌肉群肌力有所助益。臨床意義:這些結果初步可以提供後續推動「長期照顧十年計劃」居家物理治療政策施行的參考。 |
英文摘要 | Background and Purpose: The need of home physical therapy services has been rising during recent years with the endorsement of the Ten-Year Plan for Long-term Care. This study aimed to investigate the condition for the clients using the home physical therapy services provided by the Ten-Year Plan for Long-term Care project and evaluate the effects of home physical therapy. Methods: AII subjects who had been referred by the care managers of the Kaohsiung Long-Term Care Resource Management Center to the Long-Term Care Team of Society of Kaohsiung Physical Therapist were received at least 6 times of the home physical therapy services during 2011. Results: During 2011, there were 221 clients received home physical therapy for at least 6 times. Only 141 of the clients had completed both assessments before the commencement and after the completion of physical therapy services. Paired t-test was used to determine the difference between the first and final assessments in activities of daily living (ADL) function (Banhel Index, BI), balance performance (short form Berg Balance Scale), muscle strength (Motricity Index, MI) and walking velocity (timed 5-meter walking test). Significant Improvement was found in both ADL function (BI: 27.9±29.9 vs. 36.5±33.5, p<.01) and muscle strength of lower extremity (MI: 46.4±27.4 vs. 55.6±29.3, p<.01), but not in the balance performance walking speed. Conclusion: Six times or more home physical therapy provided by the current Ten-Year Plan for Long-term Care project is effective in improving ADL and muscle strength of lower limb. Clinical implications: The preliminary finding can provide insights into issues related to home physical therapy services provision in the future project planning. |
本系統中英文摘要資訊取自各篇刊載內容。