住院後失能老人身體活動功能及生活品質相關性之探討

Relationship Between Physical Function and Quality of Life in Older Adults With Hospitalization-Associated Disability

10.6142/VGHN.202406_41(2).0001

游雅玟(Ya-Wen Yu)；詹明珊(Ming-Shan Jan)；熊道芬(Tao-Fen Hsiung)；黃慧芬(Hei-Fen Hwang)

住院後失能 ； 身體活動功能 ； 生活品質 ； hospitalization-associated disability ； physical function ； quality of life

榮總護理

41卷2期（2024 / 06 / 01）

97 - 107

繁體中文;英文

本研究探討住院後失能老人之身體活動功能與生活品質及其相關影響因素。本研究為橫斷式研究設計，採方便取樣，研究對象為臺北某醫學中心住院後失能老人，於其住院期間以基本資料問卷、巴氏量表（Barthel Index）及健康生活品質量表（EuroQol-5D-3L Index）三份問卷進行資料收集，2022年7月13日至2023年7月12日期間，共收案135人。研究結果顯示住院後失能老人的年齡在86歲（含）以上者（F=14.02, p<.001）、有跌倒史（t=2.05, p<.05）、有皮膚壓損者（t=3.87, p<.001）其身體活動功能較差；但仍有工作者（t=-2.88, p<.01）、有運動習慣者（t=-6.30, p<.001）其身體活動功能較好。而住院後失能老人年齡在65～74歲者（F=8.92, p<.001）、有運動習慣者（t=-4.51, p<.001）其生活品質較好；反之有皮膚壓損者（t=3.74, p<.001）其生活品質較差。住院後失能老人身體活動功能較好者其健康相關生活品質亦較好（r=.711, p<.01），建議於臨床照護因住院而失能的老人時，應積極提供促進身體功能的復健運動，並於出院前評估其身體活動功能與生活品質，以作為擬定出院準備服務追蹤之參考。

This study investigated physical function, quality of life, and their related influencing factors among older individuals with post-hospitalization disabilities. A cross-sectional design and convenience sampling were adopted to recruit older individuals with disabilities who were hospitalized at a medical center in Taipei. Between July 13, 2022, and July 12, 2023, data were collected during the hospitalization of 135 participants through the following questionnaires or tools: a basic information questionnaire, the Barthel Index, and the EuroQol-5D-3L Index. The results indicated poor physical function in individuals with post-hospitalization disabilities who were aged 86 years or older (F=14.02, p< .001), had a history of falls (t=2.05, p< .05), and had skin pressure injuries (t=3.87, p< .001) exhibited poorer physical function. By contrast, those who were employed (t=-2.88, p< .01) and regularly exercised (t=-6.30, p< .001) exhibited relatively favorable physical function. Individuals aged between 65 and 74 years (F=8.92, p< .001) and those who exercised regularly (t=-4.51, p< .001) experienced more favorable quality of life, whereas those with skin pressure injuries (t=3.74, p< .001) had poorer quality of life. The study also revealed a positive correlation between better physical function and higher health-related quality of life (r= .711, p< .01). The present findings suggest that clinical care for older individuals with post-hospitalization disabilities should actively include rehabilitation exercises to promote physical function. Moreover, the physical function and quality of life of such individuals should be assessed before discharge to guide the provision of post-discharge follow-up services.

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