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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >The burden and patterns of disability in activities of daily living among community-living older persons.
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The burden and patterns of disability in activities of daily living among community-living older persons.

机译：在社区居住的老年人中，日常生活中的残疾负担和方式。

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BACKGROUND: The onset of disability in activities of daily living (ADLs) is considered a sentinel event in the life of an older person, but recent evidence suggests that newly disabled elders have high rates of recovery. We performed a longitudinal study to determine the burden and patterns of ADL disability among previously nondisabled, community-living older persons. METHODS: We studied 754 community-living persons, aged 70 years or older, who were categorized into three groups according to their risk for disability (low, intermediate, high). Participants were interviewed each month for 2 years to determine the presence and severity of disability in four key ADLs: bathing, dressing, walking, or transferring. RESULTS: Among the 690 nondecedents, the rates of any disability were 17.7%, 48.7%, and 65.2%, respectively, for the low-, intermediate-, and high-risk groups. Whereas only 6.9% of nondecedents in the low-risk group had more than 1 month of disability, 38.2% and 50.6% of nondecedents in the intermediate- and high-risk groups (i.e., physically frail), respectively, had multiple months and/or episodes of disability. The patterns of disability were quite diverse, with no single pattern representing the disability experience of more than half the decedents or nondecedents in any of the risk groups. CONCLUSIONS: Disability among community-living older persons, particularly those who are physically frail, is a highly dynamic process with considerable diversity. Our results provide strong evidence to support an emerging paradigm of disability as a reversible, and often recurrent, event.
机译：背景：日常生活活动中的残疾（ADL）发作被认为是老年人生活中的前哨事件，但最近的证据表明，新残疾的老年人康复率很高。我们进行了一项纵向研究，以确定以前没有残疾且居住在社区中的老年人中ADL残疾的负担和方式。方法：我们研究了754名年龄在70岁或以上的社区居民，根据他们的残疾风险（低，中，高）将其分为三类。对参与者进行为期2年的每月访谈，以确定四种主要ADL中的残障情况和严重程度：洗澡，穿衣，走路或转移。结果：在690名非后代中，低，中和高风险组的任何残疾率分别为17.7％，48.7％和65.2％。低风险组的非后裔只有6.9％的残疾超过1个月，而中级和高风险组（即身体虚弱）的非后裔分别有多个月和/或38.2％和50.6％的残疾。或残疾事件。残疾模式非常多样，没有任何一种模式可以代表任何风险组中一半以上的后代或非后代的残疾经历。结论：在社区居住的老年人，特别是身体虚弱的老年人中，残疾是一个高度动态的过程，具有很大的多样性。我们的结果提供了有力的证据来支持将残疾作为一种可逆的且经常复发的事件的新兴范例。

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