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系統識別號 U0026-2508201319594300
論文名稱(中文) 台灣居家與社區式物理治療服務輸送模式發展之研究—以長期照顧十年計畫為例
論文名稱(英文) The Development of Service Delivery Model of Physical Therapy in Home and Community-Based Care of Ten-Year Long-term Care Program in Taiwan
校院名稱 成功大學
系所名稱(中) 老年學研究所
系所名稱(英) Institute of Gerontology
學年度 101
學期 2
出版年 102
研究生(中文) 陳輝宇
研究生(英文) Huei-Yu Chen
電子信箱 chenhueiyu@gmail.com
學號 TC6971066
學位類別 碩士
語文別 中文
論文頁數 111頁
口試委員 指導教授-劉立凡
共同指導教授-陳柏宗
口試委員-林桑伊
召集委員-蔡宜蓉
中文關鍵字 復健  物理治療  長期照護  社區化  居家  服務輸送  高齡 
英文關鍵字 Rehabilitation  Physical therapy  Long-term care  Community-based  Home  Service delivery  Elderly 
學科別分類
中文摘要 面對台灣人口的高齡化,除了醫療科技對於老人的疾病有更為積極的治療以外,對於治療後延續的復健服務,亦有著更為殷切的需求。越來越多的老人藉由復健服務的提供,達到病後功能的促進與恢復,並減少失能發生的可能,亦同時提高日常生活品質。而居家式與社區式物理治療在復健服務當中扮演著重要的角色。在長期照護體系中,居家與社區式物理治療服務提供輸送模式為何,此一模式所遭遇的困境,是本研究所關切的課題。
本研究方法以文獻回顧法與專家訪談來進行探討與分析。藉由文獻查證的操作方式,以復健、社區、居家、物理治療、老年等關鍵字來進行文章的收集與整理,同時進行專家訪談,藉此了解在台灣長期照護體系中居家與社區式物理治療服務輸送模式之樣態與未來可能發展的理想模式。
文獻查證結果顯示,透過居家式與社區式的物理治療,各項主要的測量指標大部分均呈現達到預期的效果。專家訪談的結果則顯示,居家式、社區式物理治療服務的目的主要在於提高使用者與家屬自我照顧的能力,服務對象應擴大到任何有需求的民眾。治療師應該扮演指導者與評估者的角色,而影響治療師投入的主要因素有交通路程與服務費用。理想的執行方式以衛教指導為主。服務頻次應按照個案需求做調整。提供服務的場域則應從關心使用者日常生活的需求著眼。目前遭遇的困難有:民眾與專業人員對於服務內容的認知有落差、民眾對居家服務的接受度較低、人力可能不足、需求評估的專業度、治療師對社區式服務的專業認知有待加強。
結論與建議:物理治療師透過居家式與社區式服務可以有效提高使用者的功能與生活品質。服務的方式以間接服務為主,並依照需求評估決定服務提供次數與內容。建議物理治療相關學公會可以積極投入法規的制定、民眾的教育以及治療師專業能力的提升,以提高未來社區與居家服務的品質。
英文摘要 To face the population aging in Taiwan, there is not only more active treatments for elder people by medical technology improvement, aggressive continuation of rehabilitation therapy service after treatment are demanded. Through the provision of rehabilitation therapy service, more and more elderly people may not only achieve disease recovery and functional improvement, decrease the possibility of functional disability, but also increase the quality of life. Home and community-based physical therapy play an important role in the rehabilitation service. However, what is the whole home and community-based physical therapy service delivery model and what is the predicament of this model in long term care system in Taiwan? This is the subject of concern in this study.
The method of this study was literature review and expert interviews to analysis and explore. Through export interviews and the operation method of system review, collecting and organizing the literature by the key words: rehabilitation, community, home, long term care, Physical therapy, and elderly, in order to realize that the status of home and community-based physical therapy service delivery model and ideal model may development in the future.
The result indicated that home and community based physical therapy service could improve most of the physical and functional ability and quality of life. The ideal service model is indirect service with appropriate needed evaluation. Physical therapist and related physical therapy professional association should not only advertise the content of community-based physical therapy service to people and professions, but also supervise and urge the government and legislative office to pass related acts.
論文目次 中文摘要 I
英文摘要 II
誌謝 III
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究的重要性 5
第三節 研究目的 6
第四節 研究問題 6
第二章 文獻探討 8
第一節 長期照護的定義與內涵 8
第二節 長期照護復健服務中社區化物理治療服務的定義與內涵 10
第三節 台灣長期照護的現況 11
第四節 台灣復健服務的現況 13
一、 急性醫療體系 13
二、 長期照護體系 16
三、 急性後期照護 19
第五節 服務輸送模式的評估 19
第六節 國內外居家與社區式復健之照護結果與經驗 21
第三章 研究方法 24
第一節 研究設計 24
一、 文獻查證法 24
二、 專家訪談 25
第二節 研究工具 27
第四章 研究結果 28
第一節 文獻查證 28
一、 文獻內容描述 63
二、 文獻結果與結論 69
第二節 專家訪談部分 71
一、 居家式、社區式物理治療的服務目的與服務對象 72
二、 物理治療師扮演的角色及影響投入的因素 73
三、 理想的居家式與社區式物理治療的執行方式與遭遇的困難 74
四、 居家式、社區式物理治療理想的服務頻率與次數 75
五、 執行服務的場域 76
六、 推行居家式與社區式物理治療所遭遇的困難 76
第五章 討論 86
第一節 服務的目的與服務使用對象 86
第二節 物理治療師扮演的角色 88
第三節 執行服務的內容與方式 89
第四節 居家式物理治療服務理想的頻率與次數 91
第五節 理想的服務場域 92
第六節 目前遭遇的困難與未來的機會 93
第七節 研究限制 95
第六章 結論與建議 96
第一節 結論 96
第二節 建議 97
參考文獻 99
參考文獻 內政部(2007)。 我國長期照顧十年計畫-大溫暖社會福利套案之旗艦計畫 。
內政部統計處(2011)。 一〇〇年第二週內政統計通報(99年底人口結構分析)。取自 http://www.moi.gov.tw/stat/news_content.aspx?sn=4943
尹祚芊、劉玉山 (2012)。 內政部及行政院衛生署自97年起實施我國長期照顧十年計畫,其推動過程核有多項違失,導致執行成效不彰,爰依法提案糾正。 監察院。
王雲東、鄧志松(2009)。 我國長期照護服務需求評估 : 行政院經濟建設委員會。
王雲東、鄧志松、陳信木、楊培珊(2009)。 我國長期照護服務需求評估
王瑞瑤、熊嘉玲、陳麗華、許君強 (2003)。 不同服務密度居家物理治療對中風病人之療效。物理治療, 28(2),頁 65-70。
王靜怡、陳惠雅、胡名霞 (2012)。 社區預防性復健照護的物理治療服務[Physical Therapy in Preventive Rehabilitative Community Care]。臺灣醫學, 16(6),頁 606-615。
台北縣政府(2009)。 臺北縣政府衛生局98-99年度長期照顧復健服務計畫書 : 台北縣。
台南縣政府社會處(2009)。 台南縣98年度辦理居家復健業務實施計畫 :台南縣。
行政院衛生署中央健康保險局 (2011)。 全民健康保險醫療支出專題報告:衛生署。
行政院衛生署中央健康保險局 (2012)。 全民健康保險醫療支出專題報告:衛生署。
吳肖琪 (2008)。 急性醫療與慢性照護的橋樑-亞急性與急性後期照護。護理雜誌(55卷4期),頁 6。
吳肖琪、周世珍、沈文君、陳麗華、鍾秉正、蔡誾誾等人 (2007)。 我國長期照護相關法規之探討。長期照護雜誌(11卷1期),頁 16。
吳肖琪、林麗嬋、蔡誾誾(2009)。 長期照護保險法制服務輸送及照顧管理之評估 : 行政院經濟建設委員會。
吳淑瓊 (2005)。 人口老化與長期照護政策。國家政策季刊(4卷4期),頁 20。
李光玉、曾明朗 (2008)。 嘉義地區老人安養機構服務品質評鑑準則之因果決策研究。嘉義大學通識學報(6期),頁 180。
李宜玲、胡名霞 (2012)。 居家物理治療對失能老人之介入與療效[Intervention and Effectiveness of Home Physical Therapy for Disabled Elderly]。物理治療, 37(3),頁 277-289。
李貞儀(2011)。影響台灣居家及社區物理治療發展之質性研究。國立陽明大學衛生福利研究所,台北市。
李建志、胡名霞. (2007)。 居家物理治療師之安全議題。 物理治療,32(2), 頁8.
李麗圳、李美珍、吳淑芳、顏容欣 (2008)。 我國長期照顧制度之建立-以臺北縣爲例。研考雙月刊(32卷6期),頁 9。
奇美醫院(2011)。 奇美醫院復健科簡介。取自 http://www.chimei.org.tw/main/right/right01/cmh_department/55100/index.htm
林茂榮、王夷暐 (2004)。 社區老人跌倒的危險因子與預防。臺灣公共衛生雜誌, 23(4),頁 259-271。
林藍萍、劉美芳 (2005)。 德、日長期照護保險制度之簡介。臺灣老人保健學刊(1卷2期),頁 20。
林麗嬋 (2010)。 無縫式照顧服務的關鍵:亞急性照護。長期照護雜誌, 14(1),頁 1-9。
胡名霞 (1998)。 物理治療與長期照護。中華民國物理治療學會雜誌(23卷1期),頁 9。
胡名霞、許書旋、江秀玲、吳淑瓊 (2006)。 全國長期照護物理治療人力需求推估。物理治療(31卷1期),頁 10。
柴惠敏、胡名霞、吳英黛、鄭百副、曹昭懿 (2008)。 社區中老年人“預防跌倒”衛教課程之成效。物理治療(33卷3期),頁 7。
國民健康局(2011)。 老化海嘯襲臺灣,23鄉鎮超高齡,89%老人有慢性病! 健康局成立10週年,公佈台灣老化地圖。取自 http://www.bhp.doh.gov.tw/BHPnet/Portal/PressShow.aspx?No=201107110001
張莉琴、高雅玉、徐美華 (2009)。 提升居家失能老人自我照顧能力之護理經驗。長期照護雜誌, 13(1),頁 109-119。
莊文玲(2012)。居家復健對於改善長照服務個案主要照顧者負荷及生活品質之成效探討。亞洲大學健康產業管理學系長期照護組碩士在職專班,台中市。
陳亮恭、黃信彰 (2007)。 中期照護:架構老年健康服務的關鍵。台灣老年醫學雜誌, 3(1),頁 1-11。
陳雪姝、蔡淑鈴、黃欽印 (2009)。 長期照護機構住民醫療利用分析-以中部四縣市為例。臺灣公共衛生雜誌(28卷3期),頁 9。
陳惠姿、莊秀美、許銘能、鄧世雄、蔡芳文、鄭若瑟(2009)。 長期照護保險法制服務提供及服務人力之評估 : 行政院經濟建設委員會。
陳慈安、吳英黛、李明濱、梁庚辰、林克能、蔡美文 (2009)。 運動訓練對社區老人憂鬱症狀、生活功能和生活品質的效果。物理治療(34卷3期),頁 10。
葉莉莉、薄景華、翟文英(2009)。 我國長期照護資源供給調查 : 。
詹火生、李安妮、戴肇洋、蔡貞慧(2006)。主要國家因應人口老化社會福利政策之研究。:行政院經濟建設委員會。
鄒明倫(2009)。全民健保職能治療利用率及相關影響因素。亞洲大學健康管理研究所。
廖華芳(2010)。物理治療導論 = Introduction to physical therapy。臺北市:禾楓書局。
趙安娜、高美玲、林壽惠 (2004)。 鄉村社區老年人健康狀況與生活品質相關性之探討。長期照護雜誌(8卷1期),頁 15。
蔡誾誾 (2007)。 台灣長期照護制度的發展與國際比較-兼論社區物理治療的定位。物理治療(32卷2期),頁 6。
鄧素文 (2010)。 淺談我國長期照護機構之評鑑制度。長期照護雜誌, 14(2),頁 117-124。
鄭文輝、鄭清霞 (2005)。 我國實施長期照護保險之可行性評估。國家政策季刊(4卷4期),頁 24。
Alkan, Hakan, Topuz, Oya, Yildiz, Necmettin, Alkan, Selcen, Sarsan, Ayse, & Ardic, Fusun. (2011). EFFICACY OF HOME-BASED EXERCISE PROGRAM AND POSTURAL BIOFEEDBACK THERAPY IN REDUCING RISK OF FALLING AMONG OSTEOPOROTIC WOMEN OVER 65 YEARS OF AGE. Turkish Journal of Geriatrics-Turk Geriatri Dergisi, 14(1), 26-34.
Arai, Takeshi, Obuchi, Shuichi, Inaba, Yasuko, Shiba, Yoshitaka, & Satake, Keiji. (2009). The relationship between physical condition and change in balance functions on exercise intervention and 12-month follow-up in Japanese community-dwelling older people. Archives of Gerontology and Geriatrics, 48(1), 61-66. doi: 10.1016/j.archger.2007.10.004
Audette, J. F., Jin, Y. S., Newcomer, R., Stein, L., Duncan, G., & Frontera, W. R. (2006). Tai Chi versus brisk walking in elderly women. Age and Ageing, 35(4), 388-393. doi: 10.1093/ageing/afl006
Barnett, A., Smith, B., Lord, S. R., Williams, M., & Baumand, A. (2003). Community-based group exercise improves balance and reduces falls in at-risk older people: a randomised controlled trial. Age and Ageing, 32(4), 407-414. doi: 10.1093/ageing/32.4.407
Bauer, C., Rietsch, C., Groeger, I., & Gassmann, K. G. (2009). Mobility and safety for elderly (MoSi), a new intervention to improve mobility and gait in elderly people. Zeitschrift Fur Gerontologie Und Geriatrie, 42(5), 360-364. doi: 10.1007/s00391-008-0011-7
Binder, E. F., Brown, M., Sinacore, D. R., Steger-May, K., Yarasheski, K. E., & Schechtman, K. B. (2004). Effects of extended outpatient rehabilitation after hip fracture - A randomized controlled trial. Jama-Journal of the American Medical Association, 292(7), 837-846. doi: 10.1001/jama.292.7.837
Bischoff-Ferrari, Heike A., Dawson-Hughes, Bess, Platz, Andreas, Orav, Endel J., Staehelin, Hannes B., Willett, Walter C., . . . Theiler, Robert. (2010). Effect of High-Dosage Cholecalciferol and Extended Physiotherapy on Complications After Hip Fracture A Randomized Controlled Trial. Archives of Internal Medicine, 170(9), 813-820.
Bishop, Mark D., Meuleman, John, Robinson, Michael, & Light, Kathye E. (2007). Influence of pain and depression on fear of falling, mobility, and-balance in older male veterans. Journal of Rehabilitation Research and Development, 44(5), 675-683. doi: 10.1682/jrrd.2006.08.0094
Caplan, G. A., Coconis, J., Board, N., Sayers, A., & Woods, J. (2006). Does home treatment affect delirium? A randomised controlled trial of rehabilitation of elderly and care at home or usual treatment (The REACH-OUT trial). Age and Ageing, 35(1), 53-60. doi: 10.1093/ageing/afi206
Capodaglio, P., Capodaglio, E. M., Ferri, A., Scaglioni, G., Marchi, A., & Saibene, F. (2005). Muscle function and functional ability improves more in community-dwelling older women with a mixed-strength training programme. Age and Ageing, 34(2), 141-147. doi: 10.1093/ageing/afi050
Chaiyawat, Pakaratee, & Kulkantrakorn, Kongkiat. (2012). Randomized controlled trial of home rehabilitation for patients with ischemic stroke: impact upon disability and elderly depression. Psychogeriatrics, 12(3), 193-199. doi: 10.1111/j.1479-8301.2012.00412.x
Chang, W.-D. (2012). Effects of Home-based Physical Therapy on Functional Outcome of Disabled Elderly: the Experience of Miaoli County in Taiwan. Journal of Physical Therapy Science, 24(8), 663-666.
CIA. (2012). The world factbook. from https://www.cia.gov/library/publications/the-world-factbook/index.html
Cook, Richard J., Berg, Katherine, Lee, Ker-Ai, Poss, Jeffrey W., Hirdes, John P., & Stolee, Paul. (2013). Rehabilitation in Home Care Is Associated With Functional Improvement and Preferred Discharge. Archives of Physical Medicine and Rehabilitation, 94(6), 1038-1047. doi: http://dx.doi.org/10.1016/j.apmr.2012.12.024
Courtney, Mary, Edwards, Helen, Chang, Anne, Parker, Anthony, Finlayson, Kathleen, & Hamilton, Kyra. (2009). Fewer Emergency Readmissions and Better Quality of Life for Older Adults at Risk of Hospital Readmission: A Randomized Controlled Trial to Determine the Effectiveness of a 24-Week Exercise and Telephone Follow-Up Program. Journal of the American Geriatrics Society, 57(3), 395-402. doi: 10.1111/j.1532-5415.2009.02138.x
Cravens, D. D., Mehr, D. R., Campbell, J. D., Armer, J., Kruse, R. L., & Rubenstein, L. Z. (2005). Home-based comprehensive assessment of rural elderly persons: The CARE project. Journal of Rural Health, 21(4), 322-328. doi: 10.1111/j.1748-0361.2005.tb00102.x
de Vreede, P. L., Samson, M. M., van Meeteren, N. L. U., Duursma, S. A., & Verhaar, H. J. J. (2005). Functional-task exercise versus resistance strength exercise to improve daily function in older women: A randomized, controlled trial. Journal of the American Geriatrics Society, 53(1), 2-10. doi: 10.1111/j.1532-5415.2005.53003.x
Dean, Catherine M., Rissel, Chris, Sherrington, Catherine, Sharkey, Michelle, Cumming, Robert G., Lord, Stephen R., . . . O'Rourke, Sandra. (2012). Exercise to Enhance Mobility and Prevent Falls After Stroke: The Community Stroke Club Randomized Trial. Neurorehabilitation and Neural Repair, 26(9), 1046-1057. doi: 10.1177/1545968312441711
Di Monaco, Marco, Vallero, Fulvia, De Toma, Elena, De Lauso, Lucia, Tappero, Rosa, & Cavanna, Alberto. (2008). A single home visit by an occupational therapist reduces the risk of falling after hip fracture in elderly women: A quasi-randomized controlled trial. Journal of Rehabilitation Medicine, 40(6), 446-450. doi: 10.2340/16501977-0206
Egawa, Ken'ichi, Kohno, Hiroshi, Oida, Yukio, Nagamatsu, Toshiya, Kitabatake, Yoshinori, Maie, Hidetoshi, & Arao, Takashi. (2002). Study on efficient intervention frequency of functional fitness promotion program for community-dwelling elderly. Bulletin of the Physical Fitness Research Institute(100), 1-10.
Eng, J. J. (2010). Fitness and Mobility Exercise Program for Stroke. Topics in Geriatric Rehabilitation, 26(4), 310-323. doi: 10.1097/TGR.0b013e3181fee736
Esculier, Jean-Francois, Vaudrin, Joanie, Beriault, Patrick, Gagnon, Karine, & Tremblay, Louis E. (2012). HOME-BASED BALANCE TRAINING PROGRAMME USING WII FIT WITH BALANCE BOARD FOR PARKINSON'S DISEASE: A PILOT STUDY. Journal of Rehabilitation Medicine, 44(2), 144-150. doi: 10.2340/16501977-0922
Freburger, J. K., & Holmes, G. M. (2005). Physical therapy use by community-based older people. Physical Therapy, 85(1), 19-33.
Gill, T. M., Baker, D. I., Gottschalk, M., Gahbauer, E. A., Charpentier, P. A., de Regt, P. T., & Wallace, S. J. (2003). A prehabilitation program for physically frail community-living older persons. Archives of Physical Medicine and Rehabilitation, 84(3), 394-404. doi: 10.1053/apmr.2003.50020
Gill, T. M., Baker, D. I., Gottschalk, M., Peduzzi, P. N., Allore, H., & Byers, A. (2002). A program to prevent functional decline in physically frail, elderly persons who live at home. New England Journal of Medicine, 347(14), 1068-1074. doi: 10.1056/NEJMoa020423
Gill, T. M., Baker, D. I., Gottschalk, M., Peduzzi, P. N., Allore, H., & Van Ness, P. H. (2004). A prehabilitation program for the prevention of functional decline: Effect on higher-level physical function. Archives of Physical Medicine and Rehabilitation, 85(7), 1043-1049. doi: 10.1016/j.apmr.2003.10.021
Gitlin, L. N., Hauck, W. W., Winter, L., Dennis, M. P., & Schulz, R. (2006). Effect of an in-home occupational and physical therapy intervention on reducing mortality in functionally vulnerable older people: Preliminary findings. Journal of the American Geriatrics Society, 54(6), 950-955. doi: 10.1111/j.1532-5415.2006.00733.x
Gitlin, L. N., Winter, L., Dennis, M. P., Corcoran, M., Schinfeld, S., & Hauck, W. W. (2006). A randomized trial of a multicomponent home intervention to reduce functional difficulties in older adults. Journal of the American Geriatrics Society, 54(5), 809-816. doi: 10.1111/j.1532-5415.2006.00703.x
Goodridge, D., Lawson, J., Rennie, D., & Marciniuk, D. (2010). Rural/urban differences in health care utilization and place of death for persons with respiratory illness in the last year of life. Rural and Remote Health, 10(2).
Heick, John D., Flewelling, Stacy, Blau, Russell, Geller, Jeffrey, & Lynskey, James V. (2012). Wii Fit and Balance Does the Wii Fit Improve Balance in Community-Dwelling Older Adults? Topics in Geriatric Rehabilitation, 28(3), 217-222. doi: 10.1097/TGR.0b013e31825fca0e
Hoenig, Helen, Sanford, Jon A., Butterfield, Tina, Griffiths, Patricia C., Richardson, Peg, & Hargraves, Katina. (2006). Development of a teletechnology protocol for in-home rehabilitation. Journal of Rehabilitation Research and Development, 43(2), 287-297. doi: 10.1682/jrrd.2004.07.0089
I.Roemer, Milton. (1983). Types of health systems and their determinants National Health Systems Of The World.
Imamura, Takayuki, Sato, Shinji, Makita, Sigeru, & Majima, Mitsuru. (2011). EFFECT OF HOME-BASED NON-INSTRUMENTAL RESISTANCE TRAINING ON EXERCISE CAPACITY OF PATIENTS WITH CHRONIC HEART DISEASE. Japanese Journal of Physical Fitness and Sports Medicine, 60(2), 177-184.
Jessep, Sally A., Walsh, Nicola E., Ratcliffe, Julie, & Hurley, Michael V. (2009). Long-term clinical benefits and costs of an integrated rehabilitation programme compared with outpatient physiotherapy for chronic knee pain. Physiotherapy, 95(2), 94-102. doi: 10.1016/j.physio.2009.01.005
Jones, Gareth R., Jakobi, Jennifer M., Taylor, Albert W., Petrella, Rob J., & Vandervoort, Anthony A. (2006). Community exercise program for older adults recovering from hip fracture: A pilot study. Journal of Aging and Physical Activity, 14(4), 439-455.
Kemmler, W., von Stengel, S., Mayer, S., Engelke, K., & Kalender, W. A. (2010). Exercise Effects on Risk Factors and Health Care Costs in the Elderly. Final Results of the Senior Fitness and Prevention Study (SEFIP). Deutsche Zeitschrift Fur Sportmedizin, 61(11), 264-269.
Kim, Hunkyung, Suzuki, Takao, Hu, XiuYing, Yoshida, Hideyo, & Tanaka, Kiyoji. (2006). Effect of a Comprehensive Intervention Program on Risk Factors for Falls, Incontinence, and Functional Dependence in Community-dwelling Japanese Elderly Women with Multiple Geriatric Syndromes: A Randomized Controlled Trial. Medicine and Science in Sports and Exercise, 38(5), S332-S332. doi: 10.1249/00005768-200605001-01423
Kim, Hunkyung, Yoshida, Hideyo, & Suzuki, Takao. (2011). The effects of multidimensional exercise on functional decline, urinary incontinence, and fear of falling in community-dwelling elderly women with multiple symptoms of geriatric syndrome: A randomized controlled and 6-month follow-up trial. Archives of Gerontology and Geriatrics, 52(1), 99-105. doi: 10.1016/j.archger.2010.02.008
Kitabatake, Yoshinori, Aoki, Masahiro, Sugimoto, Atsushi, & Nagamatsu, Toshiya. (2010). EFFECTS OF A LOW INTENSITY AND HIGH FREQUENCY PHYSICAL EXERCISE PROGRAM ON SLEEP IN FEMALE ELDERLY PEOPLE WITH SLEEP COMPLAINTS - RANDOMIZED CONTROLLED TRIAL. Bulletin of the Physical Fitness Research Institute(108), 8-17.
Kitabatake, Yoshinori, Oida, Yukio, Arao, Takashi, Nagamatsu, Toshiya, Kohno, Hiroshi, Egawa, Ken'ichi, & Maie, Hidetoshi. (2002). Effect of longitudinal intervention on functional fitness in elderly people. Bulletin of the Physical Fitness Research Institute(100), 21-30.
Kitabatake, Yoshinori, Oida, Yukio, Nakamura, Nobuyoshi, Morozumi, Kazunori, Shiozawa, Shinichiro, Sato, Shinichiro, . . . Itakura, Masaya. (2006). The development of a rehabilitation program to reduce knee pain in the community-dwelling elderly - The relationship between the amount of physical exercise and the extent of reduction of knee pain. Bulletin of the Physical Fitness Research Institute(104), 6-16.
Kohno, Hiroshi, Egawa, Ken'ichi, Oida, Yukio, Nagamatsu, Toshiya, Kitabatake, Yoshinori, Maie, Hidetoshi, & Arao, Takashi. (2002). Effect of functional fitness promotion program for community-dwelling elderly person using the transtheoretical model. Bulletin of the Physical Fitness Research Institute(100), 11-20.
Konishi, Isamu, Tanabe, Naohito, Seki, Nao, Suzuki, Hiroshi, Okamura, Taro, Shinoda, Kunihiko, & Hoshin, Emiko. (2009). Physiotherapy Program through Home Visits for Community-Dwelling Elderly Japanese Women with Mild Knee Pain. Tohoku Journal of Experimental Medicine, 219(2), 91-99. doi: 10.1620/tjem.219.91
Krebs, David E., Scarborough, Donna Moxley, & McGibbon, Chris A. (2007). Functional vs. strength training in disabled elderly outpatients. American Journal of Physical Medicine & Rehabilitation, 86(2), 93-103. doi: 10.1097/PHM.0b013e31802ede64
Kruk, Margaret Elizabeth, & Freedman, Lynn P. (2008). Assessing health system performance in developing countries: A review of the literature. Health Policy, 85(3), 263-276. doi: 10.1016/j.healthpol.2007.09.003
Kupper-Nybelen, J., Ihle, P., Deetjen, W., & Schubert, I. (2006). Persons requiring long-term care: recommendation and utilization of rehabilitative therapies. Zeitschrift Fur Gerontologie Und Geriatrie, 39(2), 100-108. doi: 10.1007/s00391-006-0369-3
Landry, M. D., Hastie, R., Onate, K., Gamble, B., Deber, R. B., & Verrier, M. C. (2012). Attractiveness of employment sectors for physical therapists in Ontario, Canada (1999-2007): implication for the long term care sector. Bmc Health Services Research, 12. doi: 10.1186/1472-6963-12-133
Lustosa, Lygia P., Silva, Juscelio P., Coelho, Fernanda M., Pereira, Daniele S., Parentoni, Adriana N., & Pereira, Leani S. M. (2011). Impact of resistance exercise program on functional capacity and muscular strength of knee extensor in pre-frail community-dwelling older women: a randomized crossover trial. Revista Brasileira De Fisioterapia, 15(4), 318-324.
Meinck, M., Freigang, K., John, B., Keitel, C., Puls, E., & Robra, B. P. (2002). Outpatient geriatric rehabilitation the structural and process quality of a geriatric mobile service team and a community-based outpatient center. Zeitschrift Fur Gerontologie Und Geriatrie, 35(5), 463-473. doi: 10.1007/s00391-002-0065-x
Mohammed, R., Poss, J., Egan, M., Rappolt, S., & Berg, K. (2013). Decision Makers' Allocation of Home-Care Therapy Services: A Process Map. Physiotherapy Canada, 65(2), 125-132. doi: 10.3138/ptc.2012-09
Niemela, Kristiina, Leinonen, Raija, & Laukkanen, Pia. (2012). A supportive home visit program for older adults implemented by non-professionals: Feasibility and effects on physical performance and quality of life at one year - A pilot study. Archives of Gerontology and Geriatrics, 54(3), E376-E382. doi: 10.1016/j.archger.2011.10.006
Nitz, Jennifer C., & Choy, Nancy Low. (2004). The efficacy of a specific balance-strategy training programme for preventing falls among older people: A pilot randomised controlled trial. Age and Ageing, 33(1), 52-58.
Oerkild, Bodil, Frederiksen, Marianne, Hansen, Jorgen Fischer, Simonsen, Lene, Skovgaard, Lene Theil, & Prescott, Eva. (2011). Home-based cardiac rehabilitation is as effective as centre-based cardiac rehabilitation among elderly with coronary heart disease: results from a randomised clinical trial. Age and Ageing, 40(1), 78-85. doi: 10.1093/ageing/afq122
Oh, Dong Hyun, Park, Ji Eun, Lee, Eon Sook, Oh, Sang Woo, Cho, Sung Il, Jang, Soong Nang, & Baik, Hyun Wook. (2012). Intensive Exercise Reduces the Fear of Additional Falls in Elderly People: Findings from the Korea Falls Prevention Study. Korean Journal of Internal Medicine, 27(4), 417-425. doi: 10.3904/kjim.2012.27.4.417
Oosting, Ellen, Jans, Marielle P., Dronkers, Jaap J., Naber, Roelfrieke H., Dronkers-Landman, Christa M., Appelman-de Vries, Suzan M., & van Meeteren, Nico L. (2012). Preoperative Home-Based Physical Therapy Versus Usual Care to Improve Functional Health of Frail Older Adults Scheduled for Elective Total Hip Arthroplasty: A Pilot Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation, 93(4), 610-616. doi: 10.1016/j.apmr.2011.11.006
Roderick, P., Low, J., Day, R., Peasgood, T., Mullee, M. A., Turnbull, J. C., . . . Raftery, J. (2001). Stroke rehabilitation after hospital discharge: a randomized trial comparing domiciliary and day-hospital care. Age and Ageing, 30(4), 303-310. doi: 10.1093/ageing/30.4.303
Roderick, Paul, Low, Joe, Day, Richard, Peasgood, Tessa, Mullee, Mark A., Turnbull, Joanne C., . . . Raftery, James. (2001). Stroke rehabilitation after hospital discharge: a randomized trial comparing domiciliary and day‐hospital care. Age and Ageing, 30(4), 303-310. doi: 10.1093/ageing/30.4.303
Sanford, Jon A., Griffiths, Patricia C., Richardson, Peg, Hargraves, Katina, Butterfield, Tina, & Hoenig, Helen. (2006). The effects of in-home rehabilitation on task self-efficacy in mobility-impaired adults: A randomized clinical trial. Journal of the American Geriatrics Society, 54(11), 1641-1648. doi: 10.1111/j.1532-5415.2006.00913.x
Sevick, M. A., Bradham, D. D., Muender, M., Chen, G. J., Enarson, C., Dailey, M., & Ettinger, W. H. (2000). Cost-effectiveness of aerobic and resistance exercise in seniors with knee osteoarthritis. Medicine and Science in Sports and Exercise, 32(9), 1534-1540.
Smith, Kelly M., McKelvie, Robert S., Thorpe, Kevin E., & Arthur, Heather M. (2011). Six-year follow-up of a randomised controlled trial examining hospital versus home-based exercise training after coronary artery bypass graft surgery. Heart, 97(14), 1169-1174. doi: 10.1136/hrt.2010.202036
Stott, David J., Buttery, Amanda K., Bowman, Adam, Agnew, Rona, Burrow, Katriona, Mitchell, Sarah L., . . . Knight, Paul V. (2006). Comprehensive geriatric assessment and home-based rehabilitation for elderly people with a history of recurrent non-elective hospital admissions. Age and Ageing, 35(5), 487-491.
Takazawa, K., Arisawa, K., Honda, S., Shibata, Y., & Saito, H. (2003). Lower-extremity muscle forces measured by a hand-held dynamometer and the risk of falls among day-care users in Japan: using multinomial logistic regression analysis. Disability and Rehabilitation, 25(8), 399-404. doi: 10.1080/0963828031000090416
United_Nations. (2013). Human Development Report 2013.
Vogler, Constance M., Sherrington, Catherine, Ogle, Susan J., & Lord, Stephen R. (2009). Reducing Risk of Falling in Older People Discharged From Hospital: A Randomized Controlled Trial Comparing Seated Exercises, Weight-Bearing Exercises, and Social Visits. Archives of Physical Medicine and Rehabilitation, 90(8), 1317-1324. doi: 10.1016/j.apmr.2009.01.030
von Koch, L., Holmqvist, L. W., Wottrich, A. W., Tham, K., & de Pedro-Cuesta, J. (2000). Rehabilitation at home after stroke: a descriptive study of an individualized intervention. Clinical Rehabilitation, 14(6), 574-583.
von Koch, Lena, Wohlin Wottrich, Annica, & Holmqvist, Lotta Widen. (1998). Rehabilitation in the home versus the hospital: the importance of context. Disability & Rehabilitation, 20(10), 367.
Weerdesteyn, Vivian, Nienhuis, Bart, & Duysens, Jacques. (2008). Exercise training can improve spatial characteristics of time-critical obstacle avoidance in elderly people. Human Movement Science, 27(5), 738-748. doi: 10.1016/j.humov.2008.03.003
Williams, S.J., & Torrens, P.R. (2008). Introduction to Health Service(7th ed.): Thomson: USA.
Yokoya, Tomohisa, Demura, Shinichi, & Sato, Susumu. (2009). Three-year Follow-up of the Fall Risk and Physical Function Characteristics of the Elderly Participating in a Community Exercise Class. Journal of Physiological Anthropology, 28(2), 55-62. doi: 10.2114/jpa2.28.55
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