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影響住院高齡者返家後行走功能恢復因素之探討
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影響住院高齡者返家後行走功能恢復因素之探討
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Journal Article
影響住院高齡者返家後行走功能恢復因素之探討
2020
Overview
背景：住院常導致高齡者發生身體功能衰退，其中行走功能是最先發生衰退的身體功能，且行走功能衰退會影響高齡者返家後日常生活活動的獨立性。目的：探討影響住院高齡者返家後行走功能恢復之因素。方法：採縱貫式研究設計，於南部某醫學中心召募出院時行走功能衰退並預定返家照護之65歲以上高齡者。出院時資料收集包含：基本特性、查爾森共病症指標、修正版凱茲日常生活量表之行走功能、迷你營養評估量表、簡易智能評估量表與住院期間是否下床活動。返家後三個月追蹤資料包括：修正版凱茲日常生活量表之行走功能、有無規律運動習慣，及有無接受復健及社會支持量表。結果：共收集78位高齡者，75.64%高齡者於返家後三個月有恢復行走功能。高齡者營養狀態、認知功能、返家後規律運動習慣與行走功能恢復呈顯著相關。多元羅吉斯迴歸分析結果發現，住院高齡者返家後有規律運動習慣者較無規律運動習慣者，其行走功能恢復勝算比為10.212（p = .004）。結論／實務應用：住院高齡者除急性問題治療外，應同時進行營養、認知與活動功能評估與照護。於出院護理計畫更應宣導返家後規律運動之重要性，以促進高齡者行走功能恢復，進而維護高齡者自主生活能力。
