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Background: Quality of Life (QOL) is an important indicator of treatment outcome for cancer therapies. QOL researches help us to explore about the impairment caused by treatment and disease on one’s social life, day to day activities and psychological conditions. The objective is to assess the health related QOL in patients suf-fering from oral cavity and throat cancer and to find out factors associated with QOL. Methodology: Facility based cross sectional study design with consecutive sampling was used to achieve a sample size of 90 patients with oral cavity and throat cancer. Result: 71(78.88%) of study participants were independent and 19(21.11%) were partially dependent, none were completely dependent. Majority of the study population perceived a poor overall QOL as revelled by the findings that only 24.4% had best scoring in overall QOL domain. Weak Positive Correlation (R2=0.224) was seen between physical and socio- emotional component of QOL (p value <0.001). Education and cancer site were significantly associated with physical component while employment and Activity of Daily Living were associated with social component of QOL. Conclusion: There is aneed to focus on ambulatory and vocational rehabilitation along with pain manage-ment for oral & throat CA patients as the study show an association of these factors with social component of QOL.
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ObjectiveTo observe the early and mid-term clinical effect of occupational therapy on patients after total knee arthroplasty (TKA) during perioperative period. MethodsFrom July to August, 2018, 100 patients who underwent the first TKA in the First Affiliated Hospital of USTC were divided into control group (n = 50) and observation group (n = 50) according to the treatment plan. Both groups received routine preoperative rehabilitation education, surgical treatment and postoperative physical therapy, in addition, the observation group received perioperative occupational therapy. They were assessed with modified Barthel Index (MBI) and Instrumental Activities of Daily Living (IADL) before operation; one, two and three days after operation; on the day of discharge; one month, three months and six months after operation. ResultsOne day, two days, one month, three months and six months after operation, the scores of MBI were higher in the observation group than in the control group (t > 2.113, P < 0.05). One month, three months after operation, the scores of IADL were significantly higher in the observation group than in the control group (t > 5.125, P < 0.001). The postoperative hospitalization time was significantly shorter (t = -5.356, P < 0.001), and the total treatment cost was lower (t = -2.455, P < 0.05) in the observation group than in the control group. ConclusionOccupational therapy could effectively improve the early and mid-term activities of daily living of TKA patients and help them return to normal life earlier.
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Objective:To explore the associations of malnutrition, sarcopenia and disability in older hospitalized patients.Methods:A retrospective study was conducted on 180 patients who were admitted to the department of geriatrics of our hospital from November 2015 to September 2020 and completed 1-year follow-up.Malnutrition and sarcopenia were diagnosed as the Global Leadership Initiative on Malnutrition(GLIM)criteria and the 2019 sarcopenia criteria issued by the Asian Working Group for Sarcopenia(AWGS2019).Disability was defined as a score of less than or equal to 95 on the Barthel Index(BI).At the end of the 1-year follow-up, a decrease of ≥5 points in the total BI score from baseline was defined as aggravation of the disability.Multivariate Logistic regression models were used to analyze the effects of malnutrition and sarcopenia on the occurrence and aggravation of the disability.Results:Among the 180 elderly patients, 27.2%(49/180)met the diagnosis of malnutrition and 39.4%(71/180)of sarcopenia, and 22.2%(40/180)of malnutrition and sarcopenia overlapped.The incidence of disability was 36.7%(66/180)at baseline and the incidence of an aggravation of disability was 31.7%(57/180)at 1-year follow-up.After adjustment for confounding factors, multivariate Logistic regression analysis showed that malnutrition( OR=3.70, 95% CI=1.27-10.80, P=0.017)and sarcopenia( OR=2.93, 95% CI=1.12-7.64, P=0.028)were risk factors for disability in elderly patients, and sarcopenia was a risk factor for aggravation of disability in elderly patients after a 1-year follow-up( OR=3.99, 95% CI=1.47-10.83, P=0.007). Conclusions:Malnutrition and sarcopenia are closely associated with the occurrence and development of disability in older hospitalized patients.
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Objective:To investigate the efficacy of repetitive transcranial magnetic stimulation (rTMS) combined with oral paroxetine in the treatment of older adult patients with severe depression and its effects on the scores of the Hamilton Rating Scale for Depression (HAMD), the Mini-Mental State Examination (MMSE), and Activities of Daily Living (ADL).Methods:A total of 192 older adult patients with severe depression who received treatment in Shaoxing 7 th People's Hospital from January 2018 to December 2019 were included in this study. They were randomly assigned to receive either oral paroxetine (control group, n = 96) or rTMS + oral paroxetine (observation group, n = 96). All patients received 1 month of treatment. Clinical efficacy was compared between the two groups. HAMD, MMSE, and ADL scores pre- and post-treatment and the incidence of adverse events during the treatment were compared between the two groups. Results:Total response rate was significantly higher in the observation group than in the control group [96.88% (93/96) vs. 89.58% (86/96), χ2 = 4.04, P < 0.05]. HAMD scores post-treatment were significantly lower in the observation group than in the control group [(6.43 ± 2.33) points vs. (11.32 ± 2.02) points, t = 15.53, P < 0.05]. MMSE and ADL scores post-treatment in the observation group were (29.13 ± 3.01) points and (71.52 ± 5.32) points, respectively, which were significantly higher than those in the control group [(24.65 ± 2.79) points, (69.65 ± 5.17) points, t = 10.69, 2.47, P < 0.05]. There was no significant difference in the incidence of adverse events between the two groups ( P > 0.05). Conclusion:The combined therapy of rTMS and oral paroxetine is highly effective on severe depression in older adult patients. It can improve cognitive function and the activities of life living.
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OBJECTIVE@#To compare the efficacy and safety of different chemotherapy regimens in elderly multiple myeloma (MM) patients with different Frailty scores.@*METHODS@#The clinical data of elderly patients with MM were retrospectively analyzed, including age, treatment regimen, efficacy, adverse reactions, and the Frailty score included in the activity of daily living score, the instrumental activity of daily living scale and the Charlson comorbidity index. The patients were divided into fit group, mediate fit group and frail group according to the scoring standard. The treatment efficiency and adverse reaction rates of elderly MM with different physical conditions treated by different chemotherapy regimens were analyzed.@*RESULTS@#Among the 70 patients, the effective rates of the patients in fit group, the mediate fit group, and the frail group were 79.5%, 81%, and 40%, and the effective rates of the fit patients in double and triple groups were 54.5% and 89.3%, 70% and 90.9% for mediate fit patients, 42.9% and 33.3% for frail patients, the triple regimen in fit patients showed obvious advantages, and the difference showed statistically significant (P<0.05), while the efficacy for mediate patients and frail patients showed no significant difference. During the induction of bortezomib, the incidence of adverse reactions for the patients in the triple group (78.6%) was higher than 67.9% in the double group, and the difference showed no statistically significant (P>0.05).There was no significant difference in the 1-year overall survival rate of the patients and with molecular genetic abnormalities among each groups.@*CONCLUSION@#The therapeutic effect is related to the patient's physical condition. For patients with healthy physique, the triple regimen should be used first. For patients with weak physical constitution, the chemotherapy regimen with low drug toxicity should be selected for safety.
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Aged , Humans , Bortezomib , Frailty , Multiple Myeloma/drug therapy , Retrospective StudiesABSTRACT
Objective:To explore the aging care willingness and requirements for long-term care services among elderlies with different activity of living(ADL).Methods:7 070 elderlies aged 60 years and above were subject to a questionnaire survey using stratified multistage random cluster sampling in three municipalities of Shandong province from August through September, 2017. Data information was obtained by a customized questionnaire and ADL scale. Rank sum test and multivariate logistic regression were used for statistical analysis.Results:According to the ADL scoring, the participants were divided into 3 groups: normal, decreased function, and dysfunction, with 5 467(77.3%), 1 283(18.2%), and 320(4.5%)people respectively. Elderlies with different ADL had different aging care willingness, and the difference was statistically significant( Z=8.704, P<0.05). The factors influencing long-term care services need varied with the degree of ADL. The willingness was a common factor for long-term care services needs of the three elderly groups. The age and living arrangements were factors among the normal ADL group. The living arrangements and chronic diseases were those among the decreased function group, and the education and self-rated economic status were those among the dysfunction group. Conclusions:The demand for long-term care service were diversified with the degree of ADL. Targeted interventions should be taken to meet the needs of elderlies of different ADL.
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OBJECTIVE@#To observe the effect of @*METHODS@#A total of 60 children with intellectual disability were randomly divided into an observation group (30 cases, 2 cases dropped off) and a control group (30 cases, 2 cases dropped off). In the control group, rehabilitation training and routine acupuncture were adopted, 30 min each time, once a day, 6 times a week for 3 months. On the base of the treatment as the control group, @*RESULTS@#Compared before treatment, the scores of DQ and ADL and the serum levels of DA, NE, 5-HT after treatment were increased (@*CONCLUSION@#On the base of rehabilitation training and routine acupuncture,
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Child , Humans , Activities of Daily Living , Acupuncture Points , Acupuncture Therapy , Intellectual Disability , Needles , Neurotransmitter Agents , Treatment OutcomeABSTRACT
Background: Stroke is the third leading cause of death and the primary cause of serious, long-term disability which can be regarded as weakness, generalized fatigue, loss of voluntary motor control or limitation in mobility, spasticity, sensory and cognitive dysfunction. In this research, a comparative study on the ability of independent self-care was conducted between two groups of patients during a 3 months follow-up period viz. Group A - patients who were given Home Exercise Programme (HEP) with conventional physiotherapy; and Group B - patients who were given HEP with conventional physiotherapy along with neuro-facilitation via Rood’s approach.Methods: In this study 236 haemorrhagic stroke patients were recruited and randomly divided to two groups. Both the groups were given a HEP consisting of regular physiotherapy. Additionally, one group out of the two was also taught exercises based on Rood’s approach consisting of facilitation and inhibition with the help of sensory stimulation, purposeful activity based exercises, with additional emphasis on repetition. The output was evaluated in terms of disability using the Barthel Index after 3 months of treatment.Results: After 3 months, it was found that patients who received HEP with both conventional physiotherapy and Rood’s approach had significantly greater improvement in Barthel Index scores compared to patients who received HEP only through conventional physiotherapy.Conclusions: This suggests that HEP consisting of conventional physiotherapy along with Rood’s approach is more effective in improving the ability of independent self-care in case of post intra-cerebral haemorrhagic patients when compared to conventional physiotherapy alone.
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Objective:To evaluate the efficacy and safety of traditional Chinese medicine (TCM) in the treatment of post stroke cognitive impairment (PSCI). Method:Seven databases, including CNKI, WanFang, VIP, CBM, PubMed, The Cochrane library and ClinicalTrials.gov, were electronically searched for relevant randomized controlled trials (RCTs) of TCM in the treatment of PSCI. The Cochrane risk of bias assessment tool was used to evaluate the methodological quality of the included studies, descriptive analysis was carried out on the included studies, and the Meta quantitative analysis was carried out with RevMan 5.3 software. Result:A total of 16 RCTs were included with 1 296 participants, and they were assigned to the intervention group (n=649) and the control group (n=647). The results showed that TCM combined with western medicine group and TCM group were better than western medicine group in improving the scores of Montreal Cognitive Assessment (MoCA), Mini-mental State Examination (MMSE), Barthel Index (BI), Activity of Daily Living (ADL), Chinese stroke scale (CSS) and National Institutes of Health stroke scale (NIHSS) of PSCI patients, and no serious adverse events were observed. Conclusion:TCM has potential advantages in improving the cognitive function of patients with PSCI, and it also has certain efficacy in improving the daily living ability and neurological impairment symptoms, and no serious adverse events have been observed. Due to the low quality of methodology included in the studies, in order to provide reliable basis for clinical decision-making, high-quality of RCTs are still needed to study the efficacy and safety of TCM for PSCI.
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Abstract Introduction: The Functional Independence Measure is an evaluation instrument that recognizes the functional evolution of the characteristics of physically disabilities and their abilities. Objective: To analyze the motor items of the functional independence level of people with physical disabilities in the municipality of Itajaí, state of Santa Catarina. Method: A cross-sectional quantitative study was carried out with 164 people with physical disabilities who lived in Itajaí/SC. Socioeconomic variables, and type and cause of disability were collected. To analyze the aspects that limit or contribute to functional independence, the Functional Independence Measure scale was applied. Statistical tests were used for comparisons according to the nature of the variables. Results: Most individuals (39%) were 41 to 60 years old; 44.5% had elementary education; only 10.4% are in the labor market, and 60.4% earns up to two minimum wages. Regarding the type of disability, 58% of participants presented plegia; 26.2%, paresis; and 15.8%, amputations. The etiology of disability was mainly related to neurological problems (43.3%). In the distribution of the average score of people with physical disabilities, half of the sample had average scores above six, and 67% above five, with significant differences in the mean independence scores according to occupation and type of disability. Conclusion: The results obtained support the decision-making process of physical therapists and health professionals.
Resumo Introdução: A Medida de Independência Funcional é um instrumento de avaliação que reconhece as características da evolução funcional dos deficientes físicos. Objetivo: Analisar os itens motores do nível da independência funcional das pessoas com deficiência física adquirida, residentes no município de Itajaí/SC. Método: Estudo transversal de abordagem quantitativa com 164 pessoas com deficiência física adquirida, residentes na cidade de Itajaí. Foram coletadas variáveis socioeconômicas, tipo e causa da deficiência. Para analisar os aspectos que limitam ou contribuem para a independência funcional, foi aplicada a escala da Medida da Independência Funcional. Foram utilizados testes estatísticos para comparações de acordo com a natureza das variáveis. Resultados: A maioria dos indivíduos (39%) apresentou de 41 a 60 anos, 44,5% referiram ensino fundamental, apenas 10,4% estão inseridos no mercado de trabalho e 60,4% recebem até 2 salários mínimos. No que se refere ao tipo de deficiência, as plegias estão presentes em 58% dos participantes, as paresias totalizaram 26,2% e os amputados foram 15,8% do total. A etiologia da deficiência foi relacionada principalmente a problemas neurológicos (43,3%). Na distribuição do escore médio das pessoas com deficiência física percebe-se que a metade da amostra apresentou escores médios acima de seis, e 67% acima de cinco, com diferenças significativas nas médias dos escores de independência de acordo com a ocupação e tipo de deficiência. Conclusão: Os resultados obtidos fundamentam a tomada de decisão do fisioterapeuta e dos profissionais de saúde.
Resumen Introducción: La Medida de Independencia Funcional es un instrumento de evaluación que reconoce las características de la evolución funcional de los discapacitados y sus capacidades. Objetivo: Analizar los ítems motores del nivel de independencia funcional de las personas con discapacidad física adquirida, residentes en el municipio de Itajaí/SC. Método: Estudio transversal de abordaje cuantitativo con 164 personas con discapacidad física adquirida, residentes en la ciudad de Itajaí (Santa Catarina). Se recogieron variables socioeconómicas, tipo y causa de la discapacidad. Para analizar los aspectos que limitan o contribuyen a la independencia funcional, se aplicó la escala de la Medida de la Independencia Funcional. Se utilizaron pruebas estadísticas para comparaciones de acuerdo con la naturaleza de las variables. Resultados: La mayoría de los individuos (39%) tienen entre 41 y 60 años, el 44,5% referenció enseñanza fundamental, apenas 10,4% están insertos en el mercado de trabajo y el 60,4% recibe hasta 2 salarios mínimos. En lo que se refiere al tipo de discapacidad, las plegias están presentes en el 58% de los participantes, las parejas totalizaron el 26,2% y los amputados fueron el 15,8% del total. La etiología de la deficiencia se relacionó principalmente con problemas neurológicos (43,3%). En la distribución del puntaje medio de las personas con discapacidad física se percibe que la mitad de la muestra presentó índices medios por encima de seis y un 67% por encima de cinco, con diferencias significativas en las medias de los índices de independencia de acuerdo con la ocupación y el tipo de discapacidad. Conclusión: Los resultados obtenidos fundamentan la toma de decisión del fisioterapeuta y de los profesionales de salud.
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Activities of Daily Living , Disabled Persons , Physical Therapy SpecialtyABSTRACT
Objective@#To investigate the prevalence of chronic diseases in aged ≥80 oldest-olds and related factors influencing their daily activities.@*Methods@#This survey was conducted in the retired cadres in Beijing from 2012 to 2014. A unified questionnaire was used to investigate the general characteristics of the oldest-olds and the activities of daily living (ADL). Information on chronic diseases was extracted from related medical records.@*Results@#A total of 4 472 male oldest- olds, with an average age as (87.1±3.9) years (80-102 years), were included. Nearly half of the elderly people were suffering from 5 or more kinds of chronic diseases, with 43.9% of them having disability on basic daily activities (BADL) with 13.4% of those classified as moderate or severe cases. 38.8% of them had instrumental activities of daily living (IADL) disability, with 28.7% of them were moderate or severe cases. The ADL disability showed an increasing trend along with the increase number of chronic diseases. The proportion of BADL disability increased from 40.5% to 50.6%. Compared with the ones having fewer chronic diseases (≤2 kinds), those with more (≥7 kinds) had an increase of 50.5% risk on BADL disability and 199.4% on IADL disability.@*Conclusion@#We noticed that the male oldest-olds suffered from multiple chronic diseases. The impairment of ADL was higher than the younger elderly. Comorbidity showed heavier impact on ADL, especially on the instrumental activities of daily living.
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Objective@#To explore the effect of visual feedback training using mirror neuron theory in patients with hemiplegia in early stroke.@*Methods@#From July 2014 to July 2017, 122 early stroke patients with hemiplegic stroke in the First People's Hospital of Wenling were selected in the study.After the patients' condition was stable, visual feedback training based on mirror neuron theory was performed.The functional status of upper limbs before and after treatment was evaluated by the simplified Fugl-Meyer motor function evaluation.The modified Ashworth scale was used to evaluate the upper limb muscle tension before and after treatment.The Barthel index was used to evaluate the ability of daily living activities before and after treatment.@*Results@#The FMA score of patients after treatment was (35.74±11.24)points, which was significantly higher than that before treatment [(28.81±9.68)points, t=5.160, P=0.000]. The BI score after treatment was (76.24±14.77)points, which was significantly higher than before treatment[(52.93±12.28)points, t=13.404, P=0.000]. After treatment, the muscle tension of the flexor elbow muscle group was (1.57±0.76)grades, which was significantly lower than before treatment [(3.24±0.72)grades, t=17.619, P=0.000]. The forearm pronation muscle group muscle tension grade was (2.14±0.96)grades, which was significantly lower than before treatment [(3.28±0.75)grades, t=10.336, P=0.000].@*Conclusion@#Visual feedback training based on mirror neuron theory can help improve the upper limb function of patients with hemiplegia in early stroke, alleviate the symptoms of paralysis, improve the ability of daily living activities of patients, and has positive effect on promoting their rehabilitation.
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Objective@#To explore the risk factors and prognosis of pulmonary infection in patients with acute cerebral infarction.@*Methods@#From May 2015 to October 2017, the clinical data of 236 patients with acute cerebral infarction in the First People's Hospital of Jinzhong were studied.The patients were divided into infection group (36 cases) and uninfected group (200 cases) according to whether or not the infection occurs.The clinical data and prognosis were compared between the two groups for half a year.@*Results@#The age, disturbance of consciousness, difficulty swallowing, invasive operation, large area cerebral infarction between the infected group and uninfected group had statistically significant differences (t=11.093, χ2=83.388, 69.925, 43.274, 151.345, all P<0.05). Logistic regression analysis showed that the results of age, consciousness disorder, dysphagia, invasive operation and massive cerebral infarction all had statistically significant differences(all P<0.05). In the infected group, the length of hospitalization[(23.24±5.61)d] and the cost of hospitalization[(15 239.24±3 522.60) CNY]were significantly higher than those in the uninfected group[(15.65±2.35)d, (9687.24±2215.78) CNY](t=13.671, 12.486, all P<0.05). After treatment for 6 months, the neural function defect scale of the infection group[(24.26±2.12)points] was significantly higher than that of the uninfected group[(16.24±2.23)points], and the daily life activities ability score of the infection group[(70.12±2.81)points] was significantly lower than that of the uninfected group[(79.24±3.25) points], the differences were statistically significant between the two groups(t=20.009, 15.800, all P<0.05).@*Conclusion@#There are many risk factors of pulmonary infection in patients with acute cerebral infarction, such as advanced age, invasive operation, disturbance of consciousness, dysphagia, large area cerebral infarction and so on.The prognosis of patients with acute cerebral infarction complicated with pulmonary infection is poor.
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Objective To explore the effect of visual feedback training using mirror neuron theory in patients with hemiplegia in early stroke.Methods From July 2014 to July 2017,122 early stroke patients with hemiplegic stroke in the First Peopleˊs Hospital of Wenling were selected in the study.After the patientsˊcondition was stable, visual feedback training based on mirror neuron theory was performed.The functional status of upper limbs before and after treatment was evaluated by the simplified Fugl －Meyer motor function evaluation.The modified Ashworth scale was used to evaluate the upper limb muscle tension before and after treatment.The Barthel index was used to evaluate the ability of daily living activities before and after treatment.Results The FMA score of patients after treatment was (35.74 ±11.24)points,which was significantly higher than that before treatment [(28.81 ±9.68)points,t＝5.160, P＝0.000].The BI score after treatment was (76.24 ±14.77) points,which was significantly higher than before treatment[(52.93 ±12.28) points,t＝13.404,P＝0.000].After treatment,the muscle tension of the flexor elbow muscle group was (1.57 ±0.76)grades,which was significantly lower than before treatment [(3.24 ±0.72)grades, t＝17.619,P＝0.000].The forearm pronation muscle group muscle tension grade was (2.14 ±0.96)grades,which was significantly lower than before treatment [(3.28 ±0.75) grades,t＝10.336,P＝0.000].Conclusion Visual feedback training based on mirror neuron theory can help improve the upper limb function of patients with hemiplegia in early stroke,alleviate the symptoms of paralysis ,improve the ability of daily living activities of patients ,and has positive effect on promoting their rehabilitation.
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Objective To explore the risk factors and prognosis of pulmonary infection in patients with acute cerebral infarction.Methods From May 2015 to October 2017,the clinical data of 236 patients with acute cerebral infarction in the First People's Hospital of Jinzhong were studied.The patients were divided into infection group (36 cases) and uninfected group (200 cases) according to whether or not the infection occurs.The clinical data and prognosis were compared between the two groups for half a year.Results The age,disturbance of consciousness,difficulty swallowing,invasive operation,large area cerebral infarction between the infected group and uninfected group had statistically significant differences (t =11.093,x2 =83.388,69.925,43.274,151.345,all P ＜ 0.05).Logistic regression analysis showed that the results of age,consciousness disorder,dysphagia,invasive operation and massive cerebral infarction all had statistically significant differences (all P ＜ 0.05).In the infected group,the length of hospitalization[(23.24 ± 5.61) d] and the cost of hospitalization[(15 239.24 ± 3 522.60) CNY] were significantly higher than those in the uninfected group [(15.65 ± 2.35) d,(9687.24 ± 2215.78) C NY] (t =13.671,12.486,all P ＜ 0.05).After treatment for 6 months,the neural function defect scale of the infection group [(24.26 ± 2.12) points] was significantly higher than that of the uninfected group [(16.24 ± 2.23) points],and the daily life activities ability score of the infection group[(70.12 ± 2.81) points] was significantly lower than that of the uninfected group[(79.24 ±3.25) points],the differences were statistically significant between the two groups (t =20.009,15.800,all P ＜0.05).Conclusion There are many risk factors of pulmonary infection in patients with acute cerebral infarction,such as advanced age,invasive operation,disturbance of consciousness,dysphagia,large area cerebral infarction and so on.The prognosis of patients with acute cerebral infarction complicated with pulmonary infection is poor.
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Introdução: A qualidade de vida (QV) é um instrumento relevante para o contexto funcional na doença pulmonar obstrutiva crônica (DPOC), a escala London Chest Activity of Daily Living (LCADL) avalia a atividade de vida diária (AVD) em pacientes com DPOC. Objetivo: avaliar a capacidade em realizar AVD e a QV dos pacientes com DPOC que buscam serviço público de reabilitação pulmonar (RP). Métodos: Pesquisa transversal, realizada de 2014 até 2017, 27 pacientes diagnósticados DPOC leve a grave de acordo os critérios GOLD, de ambos os sexos, estáveis, sem exacerbações recentes. Foi utilizado ANOVA para analisar diferença entre as médias de LCADL e Saint George's Respiratory Questionnaire (SGRQ) em seguida o teste pos- HOC de Turkey para delimitar o impacto de cada preditor separadamente. Utilizou-se o teste de Spearmann para correlacionar LCADL e SGRQ. Resultados: Encontrada limitação leve para todos os domínios da escala LCADL 22,7 ± 8,4 pontos com 30,2% de limitação. A QV é impactada em todos os domínios (31,2 ± 11,6 pontos) de forma moderada a grave com 41,6% de redução. A dispnéia e a fadiga interferem de forma correlata na AVD, r = 0,78 (p < 0,05). O escore LCADL correlaciona-se diretamente com a QV, r =0,59 (p < 0,05). Conclusão: Os pacientes apresentam limitação na atividade de vidade diária e impacto na qualidade de vida, além de forte correlação entre o índice de dispneia da escala LCADL e seus domínios. [AU]
Introduction: Quality of life (QoL) is an important tool for the functional context in chronic obstructive pulmonary disease (COPD), the scale London Chest Activity of Daily Living (LCADL) evaluates the activities of daily living (ADL) in patients with COPD. Objective: to evaluate the ability to perform ADL and QoL of patients with COPD seeking public pulmonary rehabilitation (PR) service. Methods: Cross-sectional study, carried out from 2014 to 2017, 27 patients diagnosed COPD mild to severe according to the GOLD criteria, of both sexes, stable, without recent exacerbations. ANOVA was used to analyze difference between the means of LCADL and Saint George's Respiratory Questionnaire (SGRQ) followed by Turkey's post-HOC test to delimit the impact of each predictor separately. The Spearmann test was used to correlate LCADL and SGRQ. Results: Light limitation was found for all domains of the LCADL scale, 22.7 ± 8.4 points with a 30.2% limitation. QoL is affected in all domains (31.2 ± 11.6 points) in a moderate to severe manner, with a 41.6% reduction. Dyspnea and fatigue correlate with ADL, r = 0.78 (p <0.05). The LCADL score correlated directly with the QoL, r = 0.59 (p <0.05). Conclusion: Patients present a limitation in daily activity and impact on quality of life, as well as a strong correlation between the dyspnea index of the LCADL scale and its domains. [AU]
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Pulmonary Disease, Chronic Obstructive , Quality of LifeABSTRACT
Objective To evaluate the clinical effect of dextromethorphan and its effect on daily living of patients with poststroke pseudobulbar affect. Methods Sixty patients with poststroke pseudobulbar affect admitted in our hospital from May 2013 to October 2016 were enrolled. Then they were randomly divided into the control group and the treatment group,with 30 patients in each group.Patients in the control group were treated with fluox-etine therapy and patients in the treatment group were treated with dextromethorphan therapy.The center for neuro-logic study lability scale(CNS-LS)and activity of daily living(Barthel index,BI)before and 30 days after the treat-ments in the two groups had been accessed. Results Thirty days after the treatment,CNS-LS of the treatment group had obvious improvement compared with that before treatment(P < 0.01),but CNS-LS of the control group had no obvious improvement compared with that before treatment(P > 0.05). And significant improvement has been found 30 days after the treatment between the two groups(P<0.01).Furthermore,significant difference was found on BI between these two groups(P<0.05).Conclusions Dextromethorphan is effective in treatment of pa-tients with poststroke pseudobulbar affect and it can improve the activity of daily living of these patients.
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Objective To investigate the Activity of Daily life (ADL) among individuals aged 100 and above,in Hainan.Methods From June 2014 to December 2016,a community-based cross-sectional study was conducted among individuals aged 100 and over in Hainan province.Data regarding basic information,ADL,prevalence of major age-related diseases was collected in this population.Loss of ADL among these centenarians was described and its determinants examined.Results The prevalence of ADL loss in centenarian population was 72.5％,with the top four items of ADL loss as stair-climbing (79.0％),moving (59.1％),walking (44.3％) and using toilet (41.3％).Results showed that tea consumption,good both on vision and audition were possible protective factors for the functions of ADL.Low level of education and vitamin D deficiency seemed as risk factors for the slowing-down of ADL (P＜0.05).Conclusions The prevalence of ADL loss among centenarians appeared relatively high.Years of education,tea consumption,degrees of vision,audition and vitamin D deficiency were possible risk factors responsible for the ADL loss in this centenarian population.
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Objective To investigate the Activity of Daily life (ADL) among individuals aged 100 and above,in Hainan.Methods From June 2014 to December 2016,a community-based cross-sectional study was conducted among individuals aged 100 and over in Hainan province.Data regarding basic information,ADL,prevalence of major age-related diseases was collected in this population.Loss of ADL among these centenarians was described and its determinants examined.Results The prevalence of ADL loss in centenarian population was 72.5％,with the top four items of ADL loss as stair-climbing (79.0％),moving (59.1％),walking (44.3％) and using toilet (41.3％).Results showed that tea consumption,good both on vision and audition were possible protective factors for the functions of ADL.Low level of education and vitamin D deficiency seemed as risk factors for the slowing-down of ADL (P＜0.05).Conclusions The prevalence of ADL loss among centenarians appeared relatively high.Years of education,tea consumption,degrees of vision,audition and vitamin D deficiency were possible risk factors responsible for the ADL loss in this centenarian population.
ABSTRACT
<p>Purpose：To clarify factors related to changes in activities of daily living (ADL) among elderly patients who were discharged to home.</p><p>Methods：The subjects were 88 persons who received in-hospital musculoskeletal rehabilitation and discharged to home. Factors related to changes in functional independence measure (FIM) score were examined.</p><p>Results：The factors related to restoring the FIM score to its values before hospitalization were frequency of physical exercise at 1 week (odds ratio [OR] ＝1.41) and 1 month (OR＝1.27) after hospital discharge, restoring the FIM score at hospital discharge to its value before hospitalization (OR＝3.96), and feeling of self-efficacy (OR＝1.16) at 3 months after hospital discharge. A receiver-operating characteristic analysis revealed that the factors related to restoring the FIM score to its value before hospitalization were frequency of physical exercise (cutoff value＝1.5) at 1 week after discharge, frequency of physical exercise (cutoff value＝1.0) at 1 month after discharge, and feeling of self-efficacy (cutoff value＝31.5) at 3 months after discharge. In addition, ≥ 2 days of physical exercise per week after hospital discharge was more likely to lead to high FIM score than ＜ 2 days of physical exercise per week.</p><p>Conclusion：Our results implied that regular physical exercise soon after hospital discharge would lead to better prognosis</p>