原名「台灣學術線上」
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題名:居家物理治療對失能老人之介入與療效     (26點)
Intervention and Effectiveness of Home Physical Therapy for Disabled Elderly
著者:李宜玲(Yi-Ling Li) ;胡名霞(Ming-Hsia Hu)
出版地區:台灣
出版城市:台北市
學科:物理 ; 醫學綜合
關鍵字:居家物理治療 ; 失能老人 ; 急性後期照護 ; 長期照護 ; Home-based physical therapy ; Disability ; Post-acute care ; Long term care
刊名:物理治療
卷期:37卷3期(2012.9)
頁碼:277-289
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

台灣人口快速老化,老年人口常因慢性病或受傷導致失能,以致日常生活需要照護與協助。失能是動態的過程,物理治療師以「短期介入、定期追蹤」的原則,適時介入高危險族群以維持社區老人獨立的日常生活功能。居家物理治療師至失能個案家中訪視、評估,與個案及照顧者共同討論復健計畫,給予居家環境評估與運動指導以協助老人改善活動力與獨立性,協助失能老人留在家中在地老化,延後至機構照護的時間。本文進行文獻回顧,評估居家物理治療對急性後期照護與長期照護的介入與療效。居家物理治療對急性後期病患,如下肢骨折、膝關節與髖關節置換、中風、慢性阻塞性肺疾病與心臟病患等等,可協助提早返家並改善病患的功能。對慢性病、長期失能住在家中的長期照護個案,居家物理治療可改善身體功能與活動力,避免功能退化並可改善生活品質。本文並討論治療頻率與強度等介入因素與長短期失能對居家物理治療療效的影響。文末參考其他國家政策以做為我國政策參考,並建議透過單一入口的照護路徑、標準化的評估測量、治療原則與結案標準,以增強居家物理治療的效能。
Population ageing in Taiwan is proceeding at an accelerating rate. Many people who suffered from chronic illness or injuries need care and assistance with activities of daily living (ADLs) due to disability. Disability is a dynamic process and disability might not be permanent with proper rehabilitation. This paper reviews the effectiveness of home-based physical therapy for the disabled elderly during post-acute care and/or long-term care. For post-acute care clients, home-based physical therapy enabled early hospital discharge and improved walking ability and other functions. For long-term care clients, home-based physical therapy improved mobility, prevented functional decline and improved quality of life. The effects of varying therapeutic frequency and intensity were emphasized in this review. Characteristics of the health care delivery system for long-term care and post-acute care in foreign countries were also reviewed. It is suggested that home physical therapy should adopt a "timely periodical intervention with scheduled follow-up" principle for clients in the long-term care system. Home environment assessment and exercise education are the main services of home physical therapy, which can enhance the elderly performing ADLs more independently and delay the transition to long-term care facilities. Lastly, establishing standardized critical care pathways, a single entry to all services, and a standardized clinical assessment and treatment protocols are recommended to enhance the effectiveness of home physical therapy for post-acute and long-term care clients.


    

本卷期目次
物理治療 37卷3期 (2012.9)
Comparing the Effect of Home Stretching Exercise and Hot Pack plus Massage for College Computer Users with Musculoskeletal Disorders/ Chiung-Yu ChoI-Ting LienYea-Shwu Hwang
The Effects of Dual Task and Adding Weight on Lower Leg on the Stepping Ability for Fallers and Non-Fallers/ Chiung-Yu ChoJeng-Feng Yang
探討不同程度骨骼肌肉系統症狀電腦族在從事不同速度電腦作業時之姿勢控制之比較:前趨研究/ 楊政峰卓瓊鈺陳宜紋
臨床問題:小腦失能之運動失調步態的運動介入/ 郭婉伶蘇郁涵張凱萍張凱傑嚴筱晴
第四腦室室管膜瘤個案報告-使用「國際功能、失能和健康分類模式」分析及介入/ 張逸平嚴筱晴
以實證執業運用於鼻咽癌療癒者肩關節功能障礙的物理治療:病例報告/ 黃卉君林慧芬
居家物理治療對失能老人之介入與療效/ 李宜玲胡名霞
 
   
 
   

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