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首页> 外文学位 >Influence du milieu d'evaluation sur la realisation de tâches liees a la preparation de repas aupres de personnes âgees fragiles.
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Influence du milieu d'evaluation sur la realisation de tâches liees a la preparation de repas aupres de personnes âgees fragiles.

机译：评价环境对与体弱老人准备饭菜有关的任务执行的影响。

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摘要

This thesis aims to advance the state of knowledge about the impact of assessment settings (home versus clinic) on meal preparation task performance in frail older adults. The thesis has three specific objectives and the results are presented in five articles.;The first specific objective aims to review current knowledge about the concept of frailty in occupational therapy and the impact of assessment settings in frail older adults. First, a critical review about frailty was conducted. The results (article 1) demonstrate that a better understanding of the concept of frailty may help occupational therapists provide health care and services better tailored to the specific needs of this population. Second, a review of studies comparing performance of instrumental activities of daily living (IADL) between assessment settings was performed. The results (article 2) reveal that older adults without significant cognitive impairments tend to perform better in IADL tasks when assessed at home. Some factors, such as familiarity with the environment, may explain this difference. Based on this review, similar results might be expected with frail elders.;The second specific objective aims to compare meal preparation task performance in home and clinical settings in a population of frail older adults. Thirty-seven frail older adults were thus assessed in home and clinical settings with the Assessment of Motor and Process Skills (AMPS) and the Performance Assessment of Self-Care Skills (PASS), using a counterbalanced design. The results (articles 3, 4, 5) globally demonstrate significantly better performance of participants when assessed at home.;The third specific objective aims to identify demographic, physical, cognitive, psychological and environmental factors that may explain differences between assessment settings. The results (articles 3, 4, 5) indicate that a better performance in the home setting was mostly related to a decline in certain executive functions. Other cognitive, demographic, psychological, physical and environmental factors also contribute to explain the differences between assessment settings but to a lesser extent.;Our findings may help occupational therapists identify frail older adults likely to present a different performance in the clinical setting and thus for whom home assessments would be advisable. Our findings could ultimately mean that frail clients are provided with services adapted to their needs, while ensuring an efficient allocation of health care resources.;Keywords: Frail older adults, activity of daily living, environment, assessment, executive functions.
机译：本论文旨在提高有关评估设置（家庭与诊所）对脆弱的老年人膳食准备任务绩效的影响的知识状态。论文有三个具体目标，其结果将在五篇文章中进行介绍。第一个具体目标旨在回顾当前有关脆弱性概念在职业治疗中的知识以及评估设置对脆弱老年人的影响。首先，对脆弱性进行了严格的审查。结果（第1条）表明，对虚弱概念的更好理解可以帮助职业治疗师提供更适合该人群特定需求的医疗保健和服务。其次，对评估设置之间的日常生活工具活动（IADL）的性能进行比较的研究进行了回顾。结果（第2条）显示，在家中进行评估时，没有明显认知障碍的老年人倾向于在IADL任务中表现更好。某些因素（例如对环境的熟悉程度）可以解释这种差异。根据这项审查，对于年老体弱的老年人可能会得到类似的结果。第二个具体目标旨在比较年老体弱的成年人在家庭和临床环境中做饭的任务表现。因此，采用平衡设计，通过家庭运动和临床技能评估（AMPS）和自我护理技能绩效评估（PASS）对37名体弱的老年人进行了家庭和临床评估。全球范围内的结果（第3、4、5条）证明了在家进行评估时参与者的表现明显更好。第三项具体目标旨在确定可解释评估环境差异的人口，身体，认知，心理和环境因素。结果（第3、4、5条）表明，家庭环境中更好的表现主要与某些执行职能的下降有关。其他认知，人口，心理，身体和环境因素也有助于解释评估环境之间的差异，但程度较小。;我们的发现可能有助于职业治疗师确定在临床环境中可能表现出不同表现的脆弱的老年人，从而谁应该进行家庭评估。我们的发现最终可能意味着向脆弱的客户提供适合他们需求的服务，同时确保有效分配医疗资源。关键词：脆弱的老年人，日常生活，环境，评估，执行职能。

著录项

  • 作者

    Provencher, Veronique.;

  • 作者单位

    Universite de Montreal (Canada).;

  • 授予单位 Universite de Montreal (Canada).;
  • 学科 Health Sciences Rehabilitation and Therapy.;Gerontology.
  • 学位 Ph.D.
  • 年度 2012
  • 页码 201 p.
  • 总页数 201
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 肿瘤学;
  • 关键词

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