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Effectiveness of comprehensive ambul...

Yu, Fang.

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Effectiveness of comprehensive ambulatory outpatient rehabilitation for cognitively impaired elders.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Effectiveness of comprehensive ambulatory outpatient rehabilitation for cognitively impaired elders./
作者:	Yu, Fang.
面頁冊數:	153 p.
附註:	Source: Dissertation Abstracts International, Volume: 64-10, Section: B, page: 4869.
Contained By:	Dissertation Abstracts International64-10B.
標題:	Health Sciences, Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3109237
ISBN:	0496567808

Effectiveness of comprehensive ambulatory outpatient rehabilitation for cognitively impaired elders.
Yu, Fang.

Effectiveness of comprehensive ambulatory outpatient rehabilitation for cognitively impaired elders. - 153 p.

Source: Dissertation Abstracts International, Volume: 64-10, Section: B, page: 4869.

Thesis (Ph.D.)--University of Pennsylvania, 2003.

Little is known about outpatient rehabilitation outcomes for cognitively impaired elders, even though a growing body of evidence shows that they could achieve similar functional gain to their cognitively intact counterparts from participating in inpatient rehabilitation programs. Using clinical and administrative records, this retrospective cohort study explored rehabilitation outcomes for cognitively impaired elders admitted to a comprehensive ambulatory outpatient rehabilitation facility because of degenerative joint disease, gait disturbance, difficulty walking, muscle disuse atrophy and arthritis. Cognitively impaired elders were found to differ from their cognitively intact counterparts. Elders with cognitive impairment were more often black, worse off financially, lived with caregivers, completed less education, had lower baseline functional levels, and had more Omaha cognition and dentition problems. Age ≥ 80 years, admission functional status and the statistical interaction of age ≥ 80 years and admission functional status predicted functional gain (p < 0.0001) and rehabilitation efficiency (p < 0.0001). Older age, being black and having a greater number of medical comorbidities predicted days of service (p = 0.0016). Nothing predicted discharge destination. Regardless of their cognitive status, all elders achieved significant functional gain from admission to discharge (p < 0.0001). The level of functional gain (p = 0.6287), rehabilitation efficiency (p = 0.6637), days of service (p = 0.8323) and discharge destination (p = 0.6859) did not differ between cognitively intact elders and cognitively impaired elders. Older age and being black predicted dose of services (p = 0.0031), and nothing predicted the intensity of service. Depression, race and admission functional status predicted disciplinary mix (p < 0.0001). No differences in dose of service (p = 0.4027), disciplinary mix (p = 0.9683) and intensity of services (p = 0.3313) were found between cognitively intact elders and cognitively impaired elders. No difference was detected in the percent of elders who received each category of Omaha interventions between the cognitively intact group and the cognitively intact group. In conclusion, cognitively impaired elders were referred to rehabilitation services with more advanced functional disability than their cognitively intact counterparts. Even so, they still achieved significant functional gain through participating in this comprehensive outpatient rehabilitation service. Such improvement did not demand a longer length of stay or intensified individualized service.

ISBN: 0496567808Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Effectiveness of comprehensive ambulatory outpatient rehabilitation for cognitively impaired elders.
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