影响神经老年患者生物心理社会功能的选定因素

M. Biercewicz, Wiesław Fidecki, Anna Antczak-Komoterska, K. Filipska, K. Kędziora–Kornatowska
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摘要

介绍。目前,在波兰和其他欧洲国家,我们正在目睹老年人数量的增加。特别重要的是对患者的心理物理评估和确定他们日常功能的缺陷。的目标。本研究的目的是分析影响神经老年患者生物心理社会功能的人口统计学因素。材料和方法。这项研究是在比得哥什第一大学医院老年病科进行的,研究对象是122名年龄在60岁至95岁之间、因神经系统疾病住院的患者。采用NOSGER量表(老年患者护士观察量表)-老年患者护理量表和Barthel量表进行生物心理社会评估。结果。分析结果发现,NOSGER量表评估中老年人功能的平均评分为89.89,满分为150分。分析的结果是,发现64岁以下的受访者在NOSGER量表的每个方面都表现得最好,而90岁以上的受访者除情绪和情绪子量表外,表现得最差。在65-74岁和75-89岁年龄组中,所有子量表的功能相似。统计分析显示,第二健身组的被调查者在各子量表和NOSGER总分上的功能均明显低于第一健身组(p<0.05)。结论。在Barthel评分中,性别、年龄、婚姻状况、教育程度和功能适应度之间没有统计学上的显著差异。性别、年龄和受教育程度对NOSGER患者的评估也无显著影响。观察到婚姻状况对NOSGER量表中破坏性和破坏性行为区域的评估有显著影响。(JNNN 2018; 7 (3): 118 - 123)
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Selected Factors Affecting Biopsychosocial Functioning of Neurogeriatric Patients
Introduction. At present, in Poland and other European countrieswe are witnessing an increase in the number of elderly people. Of particular importance is the psychophysical evaluation of the patient and defining the deficits in their everyday functioning. Aim. The aim of the study was to analyze selected demographic factors affecting biopsychosocial functioning of neurogeriatric patients. Material and Methods. The research was carried out in the Department of Geriatrics at University Hospital No. 1 in Bydgoszcz on a group of 122 patients aged from 60 to 95 years, hospitalized for diseases of the nervous system. The biopsychosocial assessment was performed with the use of the NOSGER scale (Nurses’ Observation Scale for Geriatric Patients) — the Nursing Care Scale of Geriatric Patients and the Barthel scale. Results. As a result of the analysis, it was found that the average assessment of the functioning of older people in the assessment of the NOSGER scale was 89.89 for 150 maximum points. As a result of the analysis, it was found that respondents aged up to 64 years functioned best in each aspect of the NOSGER scale, whereas respondents aged over 90 years functioned the worst, with the exception of moods and emotions subscales. In the age groups 65–74 and 75–89, functioning was similar in all subscales. The statistical analysis carried out showed that the respondents who were in the second group of fitness had significantly worse functioning in each subscale and the overall NOSGER assessment than those who were in the first fitness group (p<0.05). Conclusions. There were no statistically significant differences found between gender, age, marital status, education, and functional fitness of patients on the Barthel score. There was also no significant effect of gender, age and education on the NOSGER patients assessment. Significant influence of marital status on the assessment in the area of destructive and disruptive behaviors on the NOSGER scale was observed. (JNNN 2018;7(3):118–123)
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