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Rehabilitation Practice and Science

Translated Title

老年人各項日常生活活動功能與自評健康狀態之調查及相關性探討

Abstract

Health-related quality-of-life in the elderly generally encompasses freedom from disease, good physical and psycho-social well-being, and preventing the loss of function in activities of daily living (ADL). Some indices of ADL, such as basic ADL and instrumental ADL, are considered to be measures of functional status in the elderly. However, in most studies, functional status is evaluated by either the summed ADL score or disability score in one or more ADLs. No studies have investigated the association between an individual's ADL function and self-rated health status. The purpose of this study was to investigate the relationship of functional status (i.e., 13 ADL items in the basic and instrumental ADL domains) to self-rated health status in elderly people.All residents aged 65 years old or older in Miaoli city were chosen for this study. All subjects in the sample of 600 individuals were selected by a stratified systematic random sampling method and interviewed by trained interviewers. Data on demographic variables, functional status in basic and instrumental ADLs, and self-rated health were collected. The results showed that self-rated health status was excellent, good, or fair in 72.3% of the elderly, and bad or poor in 27.7%. The most and least prevalent disabilities in basic ADLs were transfer (9.3%) and feeding (7%), respectively; the most and least prevalent disabilities in instrumental ADLs were transportation (24.7%) and drug preparation (16.8%). Multiple logistic regression analysis showed that functional status in bathing, feeding, dressing, incontinence, transfer, transportation, and drug preparation was significantly associated with self-rated health status, with incontinence (odds ratio, 4.72) and feeding (odds ratio, 4.27) being highly associated. An effort should be made to prevent functional decline in ADLs significantly associated with self-rated health status activities. Rehabilitation therapy should be focused on restoring independence in these activities, which subsequently would improve self-rated health status.

Language

Traditional Chinese

First Page

107

Last Page

114

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