A New Functional Assessment Tool to Evaluate Medical and Care Need

评估医疗和护理需求的新功能评估工具

基本信息

批准号：
10672121
负责人：
TOBA Kenji
金额：
$ 2.37万
依托单位：
The University of Tokyo
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1998
资助国家：
日本
起止时间：
1998 至 1999
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10672121/
关键词：
Geriatric Syndrome Geriatric Scale Older Old Young Old Longterm Care Facility Discharge Planning 老人保健施設

项目摘要

Geriatric Scale is defined as sum of signs and symptoms which are listed as geriatric syndrome in the elderly in text books of Geriatric Medicine. We investigated 474 subjects in total. These include 436 institutionalized subjects in acute care hospital, chronic care hospital, and long term care facility as well as 36 community dwelling subjects who use home-based care. Mean value of Geriatric Scale was 6 in home-based care, 6.5 in an acute care hospital, 9 in a chronic care hospital and 9 in a long term care facility. So-called geriatric syndromes were able to be categorized into 3 groups ; syndromes steeply increased after 75 years old (Older Old), syndromes increased gradually after 65 years old (Young Old) and syndromes least influenced by age (Constant).In subjects with home-based care, geriatric scale is relatively small. However 3 layer pattern of geriatric syndrome is basically not different. In a long term care facility, Although, 3 layer pattern is found, the syndromes "Older Old" increased before 75 years old. In other words, in nursing hospital, care-burden with low ADL may be heavy. The pattern in a chronic care hospital is similar that of nursing hospital. According to one year prognosis of patients in a chronic care hospital, the geriatric scale of patients who came back to home is about half of that of patients who were transferred to long term care facilities.Specifically, it should be noted that the element of Older Old is very small in patients who came back to home. In conclusion, the sum of geriatric syndromes and analysis of pattern of geriatric syndromes are new tool to evaluate care need and medical need. And it will help to make a discharge planning.

老年量表被定义为体征和症状的总和，这些体征和症状在老年医学教科书中被列为老年综合症。我们总共研究了474名受试者。其中包括急诊医院，慢性护理医院和长期护理机构的436名制度化受试者以及使用家庭护理的36个社区住宅。老年量表的平均价值在家庭护理中为6，急性护理医院的平均值为6.5，在慢性护理医院中有9个和长期护理设施中的9个。所谓的老年综合征能够分为3组；综合征在75岁（老年）后急剧增加，综合征在65岁（年龄较大）后逐渐增加，而受试者受试者的护理受试者的影响最少（恒定），老年尺度相对较小。但是，老年综合征的3层模式基本上没有差异。在长期护理设施中，尽管发现了3层模式，但综合征“旧的旧”在75岁之前就增加了。换句话说，在护理医院，ADL低的Care-Burden可能很重。慢性护理医院的模式与护理医院的模式相似。根据慢性护理医院患者的一年预后，回到家的患者的老年量表大约是被转移到长期护理设施的患者中的一半。特别是，应该指出的是，老年人的元素在回到家的患者中很小。总之，老年综合症的总和和老年综合症模式的分析是评估护理需求和医疗需求的新工具。这将有助于制定出院计划。