Development and clinical application of new assessment tool to measure QOL of elderly wit severe functional disability

严重功能障碍老年人生活质量新评估工具的开发及临床应用

基本信息

批准号：
12672184
负责人：
TOBA Kenji
金额：
$ 2.11万
依托单位：
Kyorin University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2000
资助国家：
日本
起止时间：
2000 至 2001
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-12672184/
关键词：
Quality of care QOL of dementia Vitality index ADL Care rank Rehabilitation for dementia Evaluation of intervention Vitality and survival 意欲の自然経過機能分化した病棟痴呆病棟要介護認定基準要介護度多角的機能評価痴呆の集団リハビリテーション

项目摘要

One of the most essential theme in long- term care for elderly is how to keep high quality care. However, assessment tool to measure QOL of elderly subjects with dementia is not available. Therefore, the purpose of the present study is to evaluate the practical validity of Vitality Index developed by our group, whether the index will be a new scale to assess QOL of elderly subjects with dementia. We performed several projects to complete the purpose.First, ADL and Vitality index were simultaneously measured in several wards with different function. In medical therapeutic ward, average score of Vitality index was decreased. In dementia unit, Vitality index was distributed from full score to zero. On the other hand, Vitality was well reserved in nursing unit.Second, we measured the chancy in several scales including Barthel Index, N- ADL, NM, SDS, HDSR and Vitality index before and after group rehabilitation. Only SDS and Vitality index were significantly changed.Third, relationship between Vitality Index and care rank of long-term care insurance was examined. Vitality index was negatively correlated with care rank.Forth, natural consequence of score of Vitality index was measured in long-term care facility. Vitality index was not significantly changed for 6 month in long-term care facility.Finally, we evaluated which factors are involved in survival in long-term care facility. Only sex (female) and high score of Vitality Index were significant factors for survival by the multi- validate analysis.In conclusion, Vitality Index is a new useful practical tool to assess elderly with dementia.

长期护理老年人最重要的主题之一是如何保持高质量护理。但是，无法获得痴呆症老年受试者的质量的评估工具。因此，本研究的目的是评估我们小组开发的生命力指数的实际有效性，该指数是否将是评估痴呆症老年受试者质量的新量表。我们执行了几个项目以完成目的。首先，ADL和活力指数是在具有不同功能不同的几个病房中同时测量的。在医疗治疗病房中，生命力指数的平均得分降低。在痴呆单元中，活力指数从完整分数分布到零。另一方面，活力在护理单位中得到了很好的保留。第二，我们以几个尺度测量了小组康复之前和之后的几个尺度，包括Barthel指数，N-ADL，NM，SDS，HDSR和活力指数。只有SD和活力指数发生了重大变化。三分之二，研究了长期护理保险的生命力指数与护理等级之间的关系。生命指数与护理等级负相关。在长期护理机构中，6个月内的活力指数没有显着改变。在最后，我们评估了在长期护理设施中涉及哪些因素。通过多验证分析，只有性别（女性）和高得分生命力指数是生存的重要因素。总而言，生命力指数是评估痴呆症老年人的新有用的实用工具。