Home care prevents cognitive and functional decline in frail elderly.

C F Di Gioacchino, S Ronzoni, A Mariano, M Di Massimo, R Porcino, D Calvetti, D Coen, L M Zuccaro, S M Zuccaro
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引用次数: 9

Abstract

Today home health care (HHC) programs have been developed in numerous Western countries, in order to answer the questions regarding the care of frail elderly suffering from polypathologies and, therefore, being at high risk of disability. The HHC program of the Israelite Hospital of Rome has been planned as a complementary model, and not as a substitute of hospitalization, being able to offer flexible services, suitable for each elderly patient. The present study has established that taking care of old patients in their home allows us to prevent the deterioration of cognitive performance and functional impairments,as measured by the mini mental state examination (MMSE), the scales of activity of daily living (ADL), and the instrumental activity of daily living (IADL), respectively. We found considerable improvements also in the mood disorders during HHC, as measured by the geriatric depression scale (GDS). All psychometric tests were administered at the beginning of home care and after almost 1 year. Moreover, we formulated some questions regarding the quality of the offered services, and the answers revealed great satisfaction of both the patients and their caregivers.

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家庭护理可预防体弱长者的认知和功能衰退。
今天,许多西方国家已经制定了家庭保健(HHC)计划,以回答有关照顾患有多种疾病的体弱多病的老年人的问题,因此,有很高的残疾风险。罗马以色列医院的HHC方案计划作为一种补充模式,而不是作为住院治疗的替代品,能够提供灵活的服务,适合每位老年患者。本研究已经确定,在家中照顾老年患者可以防止认知能力的恶化和功能障碍,分别通过迷你精神状态检查(MMSE),日常生活活动量表(ADL)和日常生活工具活动量表(IADL)来测量。我们发现,通过老年抑郁量表(GDS)测量,HHC期间的情绪障碍也有相当大的改善。所有的心理测试都是在家庭护理开始时和将近1年后进行的。此外,我们制定了一些关于所提供服务质量的问题,答案显示了患者和护理人员的高度满意度。
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