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Rehabilitation Practice and Science

Translated Title

長期照護患者簡易全方位評估量表之建立

Abstract

Background and purpose: Along with the population and mean age of the older adults increase steadily, the prevalence of ADL impairment is getting higher which would increase the needs for elderly care. Therefore, how to evaluate patients’ care needs and resource utilization has become an important issue recently. The purposes of this study are to test the reliability and validity of a newly developed comprehensive assessment tool for care need-PRABC, hoping that it could be a easy, quick and clinical usable tool to assess the level of residents’ long-term care needs. Method: This is a cross-sectional study. Subjects were recruited from long-term care facility (LTCFs) in Kweishan, Taoyuan. Inclusion criteria are aged 65 or older and has lived in the LTCF for more than 1 month. Ninety people were recruited and were classified into 3 groups according to their Barthel Index (BI) scores. Intra-class correlation coefficient was used to verify the test-retest reliability and inter-rater reliability. The concurrent validity with MDS subscales was carried out by using the Spearman’s rank correlation coefficient and Pearson’s correlation coefficient. Investigation of the relationships between PRABC and RUG with care time respectively were also be studied by using Pearson’s correlation coefficient. Administration time for each assessment tool and care time of 15 subjects were recorded and analyzed as well. Result: The results show that PRABC has moderate inter-rater reliability (ICC = 0.575) and perfect test-retest reliability (ICC = 0.969). The internal consistency is good (Cronbach’s Alpha = 0.830). PRABC is highly correlated with CPS (r = 0.765, P ＜ 0.01) and ADL-long form (r = 0.819, P ＜ 0.01). PRABC is also correlated with care time (r = 0.670, P ＜ 0.01), but RUG is not (r = -0.158, p ＞ 0.05). The mean administration time for PRABC is 6min 03sec, MDS 48min02sec. Conclusion: PRABC is a simple, reasonable time-consuming yet comprehensive assessment tool with good reliability, concurrent validity and internal consistency. It provides a good measure of residents’ care needs for LTCFs in Taiwan and is worth for further study.

Language

Traditional Chinese

First Page

41

Last Page

50

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