特別養護老人ホーム入所者の日常生活動作能力と臨床検査成績との関連

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  • Relationship of Activities of Daily Living to other clinical findings among the old people in the Tokyo-Metropolitan Nursing Home
  • トクベツ ヨウゴ ロウジン ホーム ニュウショシャ ノ ニチジョウ セイカツ

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The relationship of Activities of Daily Living to blood pressure and to the results of blood samples was investigated among 317 old peoples (111 males; 206 females) in the Tokyo Metropolitan Nursing Home.<br>Subjects were evaluated and classified into 13 groups based on ability to walk, eat, dress, bath and go to the toilet.<br>Distribution of ADL among the 13 groups tended toward extremes of high and low with few intermediates.<br>Mean age was 80.5 (from 60 to 101) and ADL scores did not vary according to age. Many chronic diseases were prevalent among the subjects. Bone and joints diseases were most frequent occupying 36.6% of all diseases, followed by apoplexy syndromes (32.5%) and mental disturbances (24.6%) etc.<br>Bed-ridden subjects who wore diapers against incontinence were determined as having the poorest ADL and comprised 30% of all subjects. ADL scores were higher in females than in males. Subjects were divided into two groups according to ADL scores and differences in other clinical findings were compared between the lower ADL group and the higher ADL group.<br>The mean cholesterol in both sexes and A/G, uric acid in females were significantly higher in the group with higher ADL. The mean value of total protein and systolic blood pressure in both sexes tended to be higher in the group with better ADL. The same tendency was found in the mean value of A/G, diastolic blood pressure in males. Though levels of hematocrit and hemoglobin were observed incresae according to high ADL scores in males, the opposite phenomenon was found in females.

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