Network-based geriatric rehabilitation for frail elderly people: feasibility and effects on subjective health and pain at one year
| Autor: | Sirkka-Liisa Karppi, Reijo Tilvis, Timo Pohjolainen, Katariina Hinkka, Taina Rantanen, Pauli Puukka |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Geriatric rehabilitation Activities of daily living Health Services for the Aged medicine.medical_treatment Frail Elderly Health Status Pain Dermatology Rehabilitation Centers law.invention Physical medicine and rehabilitation Randomized controlled trial law Intervention (counseling) Surveys and Questionnaires Activities of Daily Living medicine Humans Geriatric Assessment Finland Aged Self-efficacy Rehabilitation Mini–Mental State Examination medicine.diagnostic_test business.industry General Medicine Functional Independence Measure Home Care Services Self Concept Self Efficacy Physical therapy Feasibility Studies Female business Follow-Up Studies |
| Zdroj: | Journal of rehabilitation medicine. 39(6) |
| ISSN: | 1650-1977 |
| Popis: | OBJECTIVE To study the feasibility and 1-year effects on subjective health and symptoms of a network-based geriatric rehabilitation intervention for frail elderly people. DESIGN A randomized, controlled trial. SUBJECTS A total of 741 frail elderly people who lived at home, aged > 65 years, without severe cognitive impairment (Mini Mental State Examination < 18), and eligible to receive Pensioners' Care Allowance (a benefit that is independent of personal income or insurance). The setting included 41 municipalities and 7 rehabilitation centres in Finland. METHODS Over a period of 8 months the intervention group received network-based rehabilitation for 3 in-patient periods (totalling 21 days) at rehabilitation centres and a home visit by a professional. Both groups received standard social and health services locally. Functional Independence Measure, subjective health, common symptoms and pain were assessed at baseline and 1-year follow-up. RESULTS After baseline measurements, 33 of those allocated to rehabilitation withdrew from the study. Of the 343 intervention subjects, 276 attended all 3 in-patient periods. At one year, there were no differences in symptoms between the groups. Subjective health was improved in the intervention group and impaired in the control group (p < 0.01). CONCLUSION The network-based geriatric rehabilitation programme was feasible for use among the frail elderly people and improved their subjective health. |
| Databáze: | OpenAIRE |
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