Title

臺北縣萬裏鄉仁愛之家居民活動能力調查報告

Translated Titles

A Survey of the Functional Status of Residents in the Wan-Li Sanatorium

DOI

10.29616/JPTAROC.199509.0004

Authors

廖文炫(Wen-Shen Liao);胡名霞(Ming-Hsia Hu);曹昭懿(Jau-Yih Tsauo);楊順安(Shun-An Yang)

Key Words

老年人 ; 療養院 ; 功能狀態 ; The aged ; Sanatorium ; Functional status

PublicationName

中華民國物理治療學會雜誌

Volume or Term/Year and Month of Publication

20卷2期(1995 / 09 / 01)

Page #

121 - 130

Content Language

繁體中文

Chinese Abstract

隨著老年人口的增加,家庭結構的改變,居住在療養機構的老年人口也逐漸增多。民國74年本文作者曾訪視臺北縣萬裏鄉仁愛之家,並建議給予殘障院民物理治療以促進其功能。為幫助國內對老人物理治療需求之進一步瞭解,本研究特設計「仁愛之家院民活動能力篩檢表」,並再度訪視仁愛之家居民,調查其疼痛、關節活動度、肌力、及蹲下、站起、行走能力、使用輔具等功能狀態。於民國82年5月及8月間共篩檢取得390名(平約75歲,男性303人,女87人)院民之資料。結果發現50%的院民有關節疼痛問題,以膝關節疼痛最常見;39%有關節活動度降低的現象,以肩、膝關節活動受限最常見;32%有肌力減弱的現象,以髖關節部位肌力降低最多;活動能力方面,45%之院民與法正常蹲下,18%站起之能力有困難,26%無法在社區內行走無礙,28%需用輔行器,35%無法獨立上下樓。平均步頻為每分鐘88小步。女性抱怨疼痛的比例高於男性,且上肢肌力降低及功能狀態受限比例亦較高。有58名院民居住在療養區,與一般區居民除疼痛比例近似外,各項活動能力均較差,平約步頻較低為每分鐘71小步。總之,本報告結果院民之功能狀態受限比例與國外調查結果近似,推估約需3-5名物理治療人員才足以提供本院院民物理治療之所需,並建議有功能障礙之院民接受物理治療訓練以減少生活上之功能障礙,並提昇生活品質。

English Abstract

The elderly population has increased beyond 7% in Taiwan since 1994 and the need for geriatric physical therapy is increasing. In 1985, the authors reported the prevalence of functional limitations of handicapped residents in the Wan-li Sanatorium and suggested that physical therapy may improve their function. This article reports the results of a survey conducted in 1993 in the Wan-li Sanatorium. A total of 390 residents (mean=75 years old, 303 males, 87 females) completed the survey. A survey form was used to record the joints complaining pain, with range of motion (ROM) limitations, or decreasing muscle strength. The ability to squat, stand up, walk (endurance, device, cadence), and get up and down stairs were examined. The results revealed that 50% of residents had pain, 39% had ROM limitations, and 32% had decreased strength. Compare among joints, pain of the knee joints, ROM limitation of the shoulder joints, and muscle weakness of the hip joints were seen most frequently. Approximately 45% residents were limited in squatting, 18% limited in standing up, 26% limited in walking in the Sanatorium, 28% requiring the use of a walking device, and 35% could not get up and down stairs independently. The average cadence was 88 steps/min. The proportion of female residents complaining pain was higher than male residents. The female residents showed higher proportion in decreased upper limb muscle strength and functional limitations. Residents in the Special Care Units (n=58) were more limited in all variables examined except pain than the rest of the residents. The average cadence was 71 steps/min for the residents in the Special Care Units. The prevalence of functional limitation found in this survey were similar to previous findings. It was suggested that 3-5 physical therapists were required to provide sufficient therapeutic training for the residents with functional limitation at the Wan-li Sanatorium.

Topic Category 醫藥衛生 > 醫藥總論