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Comparison of Activities of Daily Living Ability of Older Adults Who Are Homebound and Nonhomebound

机译:居家与非居家老年人的日常生活活动能力比较

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The objective of this study was to compare the activities of daily living (ADL) ability of older adults who were chronically homebound to older adults who were nonhomebound. The participants were 40 older adults 60 years of age or older, 20 homebound and 20 nonhomebound. The two groups did not differ in mean age, gender distribution, ethnicity, marital status, living situation, or type of housing. The older adults who were homebound had significantly more conditions than those who were nonhomebound. T tests revealed statically significant differences in the mean Assessment of Motor and Process Skills ADL motor and ADL process ability measures of older adults in the homebound and nonhomebound groups, with the latter group demonstrating higher ADL ability measures. Based on a power analysis indicating a need for 10 persons in each group, the nonhomebound group was subsequently divided into two subgroups, those who needed assistance to perform ADL from paid staff and/or family members and those who performed ADL independently. The results of two analyses of variance revealed that participants who were chronically homebound and those who were nonhomebound and had assistance had significantly lower ADL motor ability and ADL process ability than those who were nonhomebound and independent. The homebound group and the nonhomebound group with assistance did not differ significantly in ADL motor or ADL ability. The findings support the need for occupational therapists to provide services for older adults who have ADL limitations regardless of their homebound status.
机译:这项研究的目的是比较长期在家的老年人和非在家的老年人的日常生活活动能力。参加者为40名60岁或以上的老年人,20名住家和20名非住家。两组的平均年龄,性别分布,种族,婚姻状况,生活状况或住房类型均无差异。在家无家可归的老年人比无家可归的老年人有更多的疾病。 T检验显示,在居家和非居家组中,老年人对运动和处理技能的平均评估中,ADL运动和ADL过程能力测量的均值存在静态显着差异,而后者则显示出较高的ADL能力测量。根据表明每组需要10人的能力分析,随后将无居者组分为两个子组,即需要付费工作人员和/或家庭成员协助执行ADL的人和独立进行ADL的人。两项方差分析的结果表明,与那些不在家且独立的人相比,长期在家和不在家并得到帮助的参与者的ADL运动能力和ADL加工能力要低得多。在家协助的小组和非在家协助的小组在ADL运动或ADL能力上没有显着差异。该发现支持职业治疗师需要为有ADL限制的老年人提供服务,而无论其居家状况如何。

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