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Journal of the Korean Academy of Family Medicine 1989;10(1):28-37.
Published online January 1, 1989.
노인 입원환자의 기능적 장애
진영욱 곽인호 이영진 이혜리 윤방부
연세대학교의과대학 가정의학과교실
Little documentation exists concerning the extent of functional disability in the hospitalized elderly and the impact of the disability on the care of these patients.
This survey was conducted in internal medicine department of a 400 bed university hospital of 204 patient aged 60 or more years.
Considerable age-correlated disability was documented. Twenty-six percent of the patients aged 60years or older had the impairment of cognitive function. Eight percent of the patients aged between 60 and 64 years was disoriented and seventy-one percent of the patients aged 80 or more years was disoriented. This result was statistically significant(p<0.001). More than half of the patients 60 years or older needed assistance with activities of daily living. Thirty-four percent of the patients aged between 60 and 64 years was limited to activities of daily living and eight-five percent of the patients aged 80 or more years was limited. This result was also statistically significant(p<0.05). 19.6% of patients had hearing impairment. 24.7% of patients had visual impairmet. According to aging, vision and hearing impairment were increased and statistically significant(p<0.001). And 17.6% had speech impairment. But age correlated speech impairment was not significant statistically.
Modern hospital design and services may interfere with functional recovery. Evaluation of special care units to minimized the hazards of hospitalizing the elderly is recommended.
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