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題名 | 運用周全性評估於急性病房高齡患者功能性評估分析=Functional Assessment Analysis on the Acute Hospital Ward Elder Patient by the Comprehensive Geriatric Assessment |
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作者 | 潘玉玲; 張耀文; 李忠興; 羅子評; 高東煒; | 書刊名 | 中華職業醫學雜誌 |
卷期 | 21:4 2014.10[民103.10] |
頁次 | 頁215-226 |
分類號 | 417.7 |
關鍵詞 | 住院老人; 老年周全性評估; Hospitalized elderly; Comprehensive geriatric assessment; |
語文 | 中文(Chinese) |
中文摘要 | 目的:於急性病房高齡病人接受老人周全性評估,了解其功能狀況及需求,探討其社會人口學、基本健康狀態與生活功能之相關性。方法:本研究採用橫斷性研究,於102年1月1日至102年12月31日於北市某醫學中心內科病房65歲以上之病人為樣本,以老年醫學周全性評估量表為研究工具。結果:活動評估有6人(33.3%)被歸類為五倍跌倒危險性;MNA以潛在營養不良者居多(16人,43.2%);MMSE重度障礙者達13人(35.1%);CDT計10名(27.8%)有認知功能缺失情形;GDS總分I測得13名(31.4%)屬於有憂鬱傾向者。功能性評估Barthel及IADL結果之預測因子,顯示顯著相關的變項包含年齡、失禁,當年齡越大時,其日常生活功能會越差;失禁患者之日常生活自理功能的表現也較差。功能性評估結果對住院天數之預測因子分析,表示CDT總分越高則住院天數越久;另外出院時跌倒危險因子的分數越高則住院天數也越久。結論:本研究結果顯示與文獻所提老人功能衰退包括視力(老花)、聽力(重聽)、步態平衡、跌倒、失禁、營養不良、憂鬱及認知缺失等相符,故在未來照護急性病房老年病人建議進行周全性功能評估以及早發現個別性需求,規劃功能維持之照護計畫,讓老年生活能具有尊嚴及自我存在價值提升。 |
英文摘要 | Objective: The aim of this study mainly focused on the comprehensive assessment of the elderly patients in acute disease wards. It sought to understand their condition and needs, investigate the relationship between population demography, basic health status and functional living. Method: This investigation used the method of cross-sectional studies. At January 1 102 years to 102 years on December 31 at a medical center in Taipei City, Patient above 65 years old in a medical ward of the sample, In Geriatrics Comprehensive Assessment scale as a research tool. Result: Independent function tended to be individually independent. 6 patients (33.3%) were classified as 5 times the risk of self-caused falls. MMSE indicated 13 patients (35.1%) with severe impairment; CDT showed 10 patients (27.8%) with cognitive lost. GDS total for test I indicated 13 patients (31.4%) were classified as depressed. the Barthel and IADL analysis for relatedness. Results pointed out that, as the age, incontinence of the patient increased, their daily functional ability declined. Those who had incontinence would also have exhibited poorer daily functional ability to ones that had normal urinary function. With respect to the functional assessment result on the prognostic factor hospitalization duration, the higher the CDT total, the longer the duration of hospitalization. Higher risk factor score for falls after discharge also gives longer hospitalization. Results from this study for comprehensive geriatric care showed concordance to the Literature with the cited references: elderly function deterioration includes eyesight (hyperopia), hearing (impairment), walking stature balance, fall, incontinence, malnutrition, depression and cognitive impairment. Therefore, it would be recommended that, in the future care for the elderly people, geriatric comprehensive care assessments should be carried out to identify individual needs at an early stage, in order for long term care plan for functional maintenance to carried out, leading to improved elderly lifestyle and dignity. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。