@article{oai:nagasaki-u.repo.nii.ac.jp:00017431,
 author = {前本, 英樹 and 上村, 恭生 and 木口, 和明 and 平田, 奈穂美 and 牛島, 淳 and 吉永, 健 and 千住, 秀明},
 issue = {1},
 journal = {理学療法学, The Journal of Japanese Physical Therapy Association},
 month = {Feb},
 note = {本研究の目的は,高齢肺炎患者の入院期間におけるADLの低下,退院時の転帰に影響を与える要因を明らかにすることである。対象は75歳以上の高齢肺炎患者53例(平均年齢81.0±5.8歳,男性34例,女性19例)である。ADLは4段階に分類して評価した(グレードI:寝たきり,グレードII:セルフケア介助・歩行介助,グレードIII:セルフケア自立・歩行介助,グレードIV:セルフケア自立・歩行自立)。ADL低下に影響を与える要因の分析は,各因子をADLグレード間で比較して検討した。退院時ADLはグレードI 8例(15%),グレードII 11例(21%),グレードIII9例(17%),グレードIV25例(47%)であった。退院時転帰は自宅退院29例(55%),リハビリテーション目的転院17例(32%),長期療養目的転院7例(13%)であった。自宅復帰のためには少なくともセルフケアが自立している必要があった。またADL低下には,APACHE IIスコア,安静臥床期間,経過中の精神症状及び誤嚥が影響を与えていた。ADLを低下させないためには肺炎治療の一環として,早期の離床と身体活動性の向上を確立していかなければならない。, The purpose of this study was to clarify the changes in ADL level from hospital admission to discharge, and to investigate the factors that deteriorated ADL at discharge in elderly patients with acute pneumonia. Fifty-three elderly patients (34 males) aged over 75 years (mean 81.0±5.8 years) were assigned to four groups based on ADL at discharge; Group 1, bedridden, Group 2, assisted self-care with help required while walking, Group 3, independent self-care with help required while walking, and Group 4, independent self-care with walking capability. At discharge, there were 8 (15%), 11 (21%), 9 (32%) and 25 (47%) patients in Group 1, 2, 3, and 4, respectively. Twenty-nine patients (55%) were discharged to their homes, 17 patients (32%) were transferred to rehabilitation facilities, and 7 patients (13%) were sent to a facility for long-term care. Ninety percent of patients who could discharge to their homes were included in Group 3 or 4. To return home from hospital, self-care needs to be established. The APACHE II score, period of bed rest, psychotic symptoms, difficulty of swallowing were found to have significant effects on ADL decline. It is necessary to establish both early mobilization and improvement in the physical activities as part of the treatment of pneumonia so as not to decline ADL., 理学療法学. 34(1), p.16-20: 2007},
 pages = {16--20},
 title = {高齢肺炎患者のADL低下に影響を与える要因の検討},
 volume = {34},
 year = {2007}
}