髋部骨折对中老年人日常生活功能的影响

目的：了解髋部骨折对中老年人生活质量的影响。方法：采用回顾性方法调查了２０１名５０岁以上髋部骨折出院病人在骨折前和骨折后的日常生活功能。结果：１１项日常生活功能在骨折后均明显降低，到骨折后１年时仍有近８０％的髋部骨折病人日常生活功能没有完全恢复。１１项日常生活功能平均恢复时间从３．５个月到１３．１个月不等，恢复最快的是上、下床功能，恢复最慢的是购物功能。另外许多日常生活功能在骨折后１～２年间没有实质性的改善。结论：髋部骨折对中老年人的日常生活功能确有巨大影响。

The impact of hip fracture on activities of daily living in the middle-aged and elderly

Objective: To describe the impact of hip fracture on the physcial and instrument function in the middle aged and elderly. Methods:201 hospital discharged hip fracture patients aged 50 and older were retrospectively interviewed on pre fracture and post activities of daily living(ADL). Results: All 11 items of activity declined after hip fracture.Almost 80 percent hip fracture did not regain their previous levels of activities of daily living until one year following fracture. The average recovery duration of 11 items ranged from 3.5 months to 13.1 months. The first recovery activity was getting up, and the last shopping. In addition, many ADLs changed little between one year and two year after hip fracture. Conclusion:Findings have pointed to the devastating effects of hip fracture on physcical and instrumental function in the middle aged and elderly.