Functional Status and Its Related Factors in Residents of Long-Term Care Facilities in Taiwan

台灣長期照護機構院民功能狀況與影響功能之因素分析

林光華(Kwan-Hwa Lin) ； 吳肖琪(Shiao-Chi Wu) ； 熊嘉玲(Chia-Ling Hsiung) ； 胡名霞(Ming-Hsia Hu) ； 謝清麟(Ching-Lin Hsieh) ； 林昭宏(Jau-Hong Lin) ； 郭美英(Mei-Ying Kuo) ； 湯佩芳(Pei-Fang Tang)

《物理治療》 29卷4期 (2004/08) Pp. 217-224

摘要

背景與目的：長期照護機構在老人的照護方面佔重要的角色，跌倒與功能變差是院民常見的問題。本研究的目的是調查院民獨立自主功能與平衡能力，並分析影響院民功能獨立自主之因素。方法：本研究採橫斷面調查，由台灣各地區 112 家立案的長期照護機構分層抽樣，由護理之家與養護機構共隨機選出 437 位院民。由 24 位物理治療師到各機構，個別評估功能獨立自主量表分數 ( 18 項）與柏格氏平衡量表分數（選 14 項中之 9 項）。結果：院民（N = 437）之功能獨立自主（FIM）分數是76 . 42 ± 40 . 34，平衡是14 . 05 ± 13 . 18。不管是鄉村或都市，在護理之家的功能與平衡分數明顯低於養護機構。按多變項逐步迴歸分析顯示影響院民功能獨立自主之因素包括：平衡（p ＜ 0 . 001）、地區與公私立立案（p ＜ 0 . 01 ）、機構別和婚姻狀況（p ＜ 0 . 05 ）。下列特徵的院民會有較高的功能分數：平衡分數較高、住於鄉村、住於公立機構、住於養護機構、以及未婚或喪偶的老人。結論：在護理之家院民的功能明顯低於養護機構。多重因素影響長期照護機構院民功能獨立自主之能力。平衡能力是影響功能獨立自主之重要因子。（物理治療2004;29(4):217-224）

關鍵字

長期照護機構 ； 平衡 ； 功能獨立自主

並列摘要

Background and purposes: Falls and functional disability are common problems among residents in long-term care facilities (LTCF). The Functional Independence Measure (FIM) and balance ability of residents in 112 LTCF in Taiwan were assessed, and factors influencing the functional independence were investigated. Methods: A cross-sectional survey of residents in 112 licensed LTCF in Taiwan was carried out using stratified sampling method. Twenty-four physical therapists interviewed the randomly selected 437 residents in nursing homes (NH) and intermediate care facilities (ICF). The FIM and subset of Berg balance score were measured. Results: The FIM score of all participants (N = 437) was 76.42 ± 40.34, and the balance score was 14.05 ± 13.18. The stepwise multiple regression analysis indicated that the factors influencing the FIM scores in LTCF included balance (p ＜ 0.001), location and ownership of facility (p ＜ 0.0l), type of facility and marital status (p ＜ 0.05). Conclusions: Multiple factors contribute to the functional independence of residents in long-term care facilities. Balance score is one of the important factors that affects the functional independence. (FJPT 2004;29(4):217-224)

並列關鍵字

Long-term care facility ； Balance ； Functional independence measure