Rehabilitation for the elderly in the aging society_West China Medical Journal

Authors：

XIANG Xiaona ^1,2,3 , ZENG Xu ⁴ , JIANG Jiaojiao ^1,3 , JIANG Junliang ^1,3 , WU Tao ^1,3 ,  HE Chengqi ^1,3 ,  WU Jinhui ⁵

1. Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. School of Rehabilitation Sciences, West China School of Medicine, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Rehabilitation Medicine Key Laboratory of Sichuan Province, Chengdu, Sichuan 610041, P. R. China;
4. Yibin No.4 People’s Hospital / Yibin Mental Health Control Centre / Yibin Rehabilitation Hospital, Yibin, Sichuan 644000, P. R. China;
5. Geriatric Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

HE Chengqi, Email: hxkfhcq@126.com; WU Jinhui, Email: wujinhui@scu.edu.cn

Keywords：

Rehabilitation; Retirement; Aging in place; Review

DOI：

10.7507/1002-0179.201903190

Video：

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Abstract Full text Figures/Tables Video References Cited by

In order to solve the predicament brought by the aging society, China has promoted the combination of medical care. Hence, rehabilitation for the elderly may become a new strategy for the development of rehabilitation. According to the development of three different models and situation of China, we focus on improving the function of the elderly based on the families, the communities and institutions. Finally, the elderly feel happy and respected by getting professional means of rehabilitation while aging. The insurance system is the guarantee of promoting rehabilitation for the elderly and the " ternary theory” rehabilitation theory should be the guide concept. In the future, the trend is to build China’s three-level " intelligent rehabilitation for the elderly system” by artificial intelligence and big data cloud platform.

Citation： XIANG Xiaona, ZENG Xu, JIANG Jiaojiao, JIANG Junliang, WU Tao, HE Chengqi, WU Jinhui. Rehabilitation for the elderly in the aging society. West China Medical Journal, 2019, 34(5): 586-590. doi: 10.7507/1002-0179.201903190 Copy

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23.	中西杨华. 日本康复养老运营模式借鉴. 城市开发, 2018(11): 49.
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31.	De Coninck L, Bekkering GE, Bouckaert L, et al. Home- and community-based occupational therapy improves functioning in frail older people: a systematic review. J Am Geriatr Soc, 2017, 65(8): 1863-1869.
32.	Forster A, Lambley R, Young JB. Is physical rehabilitation for older people in long-term care effective? Findings from a systematic review. Age Ageing, 2010, 39(2): 169-175.
33.	汤军克, 陈林利, 陈建平. 居家养老老年人日常生活活动能力及其影响因素. 中国康复理论与实践, 2012, 18(4): 372-375.
34.	丁琳, 周婷. 中国老年人康复护理和养老概况及分析. 中国保健营养, 2017, 27(23): 187-188.
35.	姚瑞山, 柯永红, 袁晓晓, 等. 我国社区居家养老的现状及分析. 全科护理, 2012, 10(32): 3055-3057.
36.	吕鹏飞, 陈晓玲, 周宏东, 等. 上海市医养结合养老模式卫生监督困境及对策. 医学与社会, 2016, 29(2): 71-73.
37.	向钊娣. 居家养老康复期老年人照护所需专职人员//国际老年健康论坛·泰山论文集. 西安: 西安市碑林区老年学学会, 2016: 357-358.
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1. 国务院人口普查办公室国家统计局人口和就业统计司. 中国2010年人口普查资料. [2019-05-04]. http://www.stats.gov.cn/tjsj/pcsj/rkpc/6rp/indexch.htm.
2. 全国老龄工作委员办公室. 国家统计局: 老龄化程度加深劳动年龄人口数量连降7年. (2019-01-24)[2019-05-04]. http://www.cncaprc.gov.cn/contents/2/188549.html.
3. 国务院办公厅. 《国务院办公厅转发卫生计生委等部门关于推进医疗卫生与养老服务相结合指导意见的通知》(国办发﹝2015﹞84号). (2015-11-18)[ 2019-05-04]. http://www.gov.cn/zhengce/content/2015-11/20/content_10328.htm.
4. Offenbächer M, Sauer S, Hieblinger R, et al. Spirituality and the international classification of functioning, disability and health: content comparison of questionnaires measuring mindfulness based on the international classification of functioning. Disabil Rehabil, 2011, 33(25/26): 2434-2445.
5. 唐飞泉, 杨律铭. 我国医养结合模式探索和创新. 现代管理科学, 2018(12): 51-53.
6. 许文丽, 刘化侠, 杨朝霞, 等. 社区老年人医养康护一体化服务需求及影响因素研究. 中国实用护理杂志, 2019, 35(6): 451-456.
7. 黄晓琳, 燕铁斌. 康复医学. 5版, 北京: 人民卫生出版社, 2013: 1.
8. M'kumbuzi VR, Myezwa H. Adaptation of the global frameworks for community based rehabilitation in southern Africa: a proof of concept. Rural Remote Health, 2017, 17(3): 3717.
9. Dengsoe C, Rohde L. Higher pensions and less risk: innovation at Denmark’s ATP pension plan. Rotman Int J Pension Management, 2010.
10. Vass M, Avlund K, Hendriksen C, et al. Preventive home visits to older people in Denmark: methodology of a randomized controlled study. Aging Clin Exp Res, 2002, 14(6): 509-515.
11. Lewinter M. Developments in home help for elderly people in Denmark: the changing concept of home and institution. Int J Soc Welf, 2004, 13(1): 89-96.
12. Gillam S. Public and private roles in health care systems: reform experience in seven OECD countries. Family Practice, 2002, 19(3): 311.
13. Haas LEM, van Beusekom I, van Dijk D, et al. Healthcare-related costs in very elderly intensive care patients. Intensive Care Med, 2018, 44(11): 1896-1903.
14. Centers for Disease Control and Prevention. Healthy places terminology. (2019-03-09)[2019-05-04]. https://www.cdc.gov/healthyplaces/terminology.htm#a.
15. 曾迎霄. 美国自然形成退休社区养老服务模式及启示. 河南牧业经济学院学报, 2016, 29(5): 52-54.
16. 周驰, 孟凡莉. 美国持续照料退休社区的健康管理模式及启示. 中国老年学杂志, 2017, 37(2): 518-519.
17. 张悦玲, 解聪. 国外农村养老模式有何特色. 人民论坛, 2017(3): 118-119.
18. Wick JY. Aging in place: our house is a very, very, very fine house. Consult pharm, 2017, 32(10): 566-574.
19. Mardini MT, Iraqi Y, Agoulmine N. A survey of healthcare monitoring systems for chronically ill patients and elderly. J Med Syst, 2019, 43(3): 50.
20. Danilovich MK, Diaz L, Saberbein G, et al. Design and development of a mobile exercise application for home care aides and older adult medicaid home and community-based clients. Home Health Care Serv Q, 2017, 36(3-4): 196-210.
21. Vanleerberghe P, De Witte N, Claes C, et al. The quality of life of older people aging in place: a literature review. Qual Life Res, 2017, 26(11): 2899-2907.
22. Steihaug S, Lippestad JW, Werner A. Between ideals and reality in home-based rehabilitation. Scand J Prim Health Care, 2016, 34(1): 46-54.
23. 中西杨华. 日本康复养老运营模式借鉴. 城市开发, 2018(11): 49.
24. Ayalon L. Between older adults’ needs and the law: the Israeli Long Term Care Insurance Law from the perspectives of service users and providers. Health Soc Care Community, 2018, 26(4): e514-e522.
25. Brodsky J, Habib J, Mizrahi I. Long-term care laws in five developed countries: a review. (2000-09)[2019-05-04]. https://apps.who.int/iris/bitstream/handle/10665/66572/WHO_NMH_CCL_00.2.pdf?sequence=1&isAllowed=y.
26. Hatano E. Long-term care insurance in Japan: how physicians are involved in providing rehabilitation for the elderly. Japan Med Assoc J, 2012, 55(3): 231-239.
27. 李佳婧. 日本养老设施康复景观设计实例分析//中国园艺疗法学术研究会议北京大会暨第一届园艺疗法与康复景观高峰论坛暨学术研讨会论文集. 北京: 中国社会工作联合会, 2015: 261-268.
28. Arai H, Ouchi Y, Toba K, et al. Japan as the front-runner of super-aged societies: perspectives from medicine and medical care in Japan. Geriatr Gerontol Int, 2015, 15(6): 673-687.
29. Sackley CM, van den Berg ME, Lett K, et al. Effects of a physiotherapy and occupational therapy intervention on mobility and activity in care home residents: a cluster randomized controlled trial. BMJ, 2009, 339: b3123.
30. Krist L, Dimeo F, Keil T. Can progressive resistance training twice a week improve mobility, muscle strength, and quality of life in very elderly nursing-home residents with impaired mobility? A pilot study. Clin Interv Aging, 2013, 8: 443-448.
31. De Coninck L, Bekkering GE, Bouckaert L, et al. Home- and community-based occupational therapy improves functioning in frail older people: a systematic review. J Am Geriatr Soc, 2017, 65(8): 1863-1869.
32. Forster A, Lambley R, Young JB. Is physical rehabilitation for older people in long-term care effective? Findings from a systematic review. Age Ageing, 2010, 39(2): 169-175.
33. 汤军克, 陈林利, 陈建平. 居家养老老年人日常生活活动能力及其影响因素. 中国康复理论与实践, 2012, 18(4): 372-375.
34. 丁琳, 周婷. 中国老年人康复护理和养老概况及分析. 中国保健营养, 2017, 27(23): 187-188.
35. 姚瑞山, 柯永红, 袁晓晓, 等. 我国社区居家养老的现状及分析. 全科护理, 2012, 10(32): 3055-3057.
36. 吕鹏飞, 陈晓玲, 周宏东, 等. 上海市医养结合养老模式卫生监督困境及对策. 医学与社会, 2016, 29(2): 71-73.
37. 向钊娣. 居家养老康复期老年人照护所需专职人员//国际老年健康论坛·泰山论文集. 西安: 西安市碑林区老年学学会, 2016: 357-358.
38. 唐路生. 人口老龄化背景下的居家运动健康服务现状调查—以武汉市为例. 武汉: 华中师范大学, 2016: 33-36.
39. 张程远. 我国持续照护型养老社区医疗康复区规划与设计研究. 重庆: 重庆大学, 2018: 26-27.
40. 杨晨. 佛山市南海区" 医养结合”康复养老模式研究. 长沙: 湖南大学, 2018: 24.
41. 郑洁皎. 上海康复医疗服务体系中建立老年康复模式探索与研究//中国康复医学会第七次全国老年医学与康复学术大会论文集. 哈尔滨: 中国康复医学会老年健康专业委员会, 2012: 43-46.
42. 卓永岳. 绿康康复养老模式的创新实践//2011 年浙江省物理医学与康复学学术年会论文集. 浙江: 浙江省医师协会, 2011: 129-131.
43. 孙茜. 中医" 十三五”规划路: 康复+养老. 中国医院院长, 2016(19): 30-31.
44. 夏家红. 武汉市" 医养结合”模式评析. 长江论坛, 2014(6): 41-43.
45. 王斌. 公立医院为主体的机构养老探索上海君莲养老院及失智老人康复治疗中心方案介绍. 时代建筑, 2012(6): 64-65.
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