學院 |
醫學院 |
系所 |
職能治療學系 |
題名 |
Associations among quality of life, activities, and participation in elderly residents with joint contractures in long-term care facilities: a cross-sectional study |
作者 |
Chen, Y-C., Lin, K-C.*, Yeh, S-H., Wang, C-H., Pan, A-W., Chen, H-L., & Chen, C-J. |
期刊名稱 |
BMC Geriatrics |
發表日期 |
2022 |
著作性質 |
原著 |
語文 |
英文 |
關鍵字 |
activity
limitations; elderly residents; joint contractures; osteoarthritis;
participation restrictions; quality of life |
摘要 |
Background: Joint contractures and degenerative osteoarthritis are the most
common joint diseases in the elderly population, can lead to limited mobility
in elderly individuals, can exacerbate symptoms such as pain, stiffness, and
disability, and can interfere with social participation and quality of life,
thus affecting mental health. However, relevant studies on this topic are
very limited. This study describes the associations of joint contracture
categories and sites in elderly residents in long-term care facilities with
their quality of life, activities, and participation. Methods:
This research was based on a
cross-sectional study design. Elderly individuals with joint contractures who
were residents in long-term care facilities were recruited. The World Health
Organization (WHO) Quality of Life and the WHO Disability Assessment Schedule
2.0 were used to survey the participants. Correlations, multiple linear
regressions, and multiple analyses of variance, with joint contractures as
the response variable, were used in the statistical analysis. Results:
The final statistical analysis included 232
participants. The explanatory power of contracture sites on activities and
participation had a moderate strength of association (η2 = .113). Compared
with elderly residents with joint contractures and osteoarthritis isolated to
the upper limbs, those with joint contractures and osteoarthritis in both the
upper and lower limbs had significantly worse activity and participation
limitations. No significant differences in activity and participation were
found between elderly residents with joint contractures affecting only the
upper limbs and those with joint contractures affecting only the lower limbs
(F1,226 = 2.604 and F1,226 = 0.674, nonsignificant). Osteoarthritis had the
greatest impact on activity limitations and participation restrictions among
elderly residents with joint contractures affecting both the upper and lower
limbs (F1,226 = 6.251, p = .014). Conclusions:
Elderly residents in long-term care
facilities belonging to minority groups, with a history of stroke, and with
osteoarthritis are at a high risk of developing activity limitations and
participation restrictions. Moreover, compared with other contraction sites,
regardless of osteoarthritis, joint contractures affecting both the upper and
lower limbs were associated with the greatest activity limitations and
participation restrictions. |