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：

Export PDF Favorites Scan Get Citation

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

1.	國務院人口普查辦公室國家統計局人口和就業統計司. 中國2010年人口普查資料. [2019-05-04]. http://www.stats.gov.cn/tjsj/pcsj/rkpc/6rp/indexch.htm.
2.	全國老齡工作委員辦公室. 國家統計局: 老齡化程度加深勞動年齡人口數量連降7年. (2019-01-24)[2019-05-04]. http://www.cncaprc.gov.cn/contents/2/188549.html.
3.	國務院辦公廳. 《國務院辦公廳轉發衛生計生委等部門關于推進醫療衛生與養老服務相結合指導意見的通知》(國辦發﹝2015﹞84號). (2015-11-18)[ 2019-05-04]. http://www.gov.cn/zhengce/content/2015-11/20/content_10328.htm.
4.	Offenb?cher 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.	唐飛泉, 楊律銘. 我國醫養結合模式探索和創新. 現代管理科學, 2018(12): 51-53.
6.	許文麗, 劉化俠, 楊朝霞, 等. 社區老年人醫養康護一體化服務需求及影響因素研究. 中國實用護理雜志, 2019, 35(6): 451-456.
7.	黃曉琳, 燕鐵斌. 康復醫學. 5版, 北京: 人民衛生出版社, 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. 美國自然形成退休社區養老服務模式及啟示. 河南牧業經濟學院學報, 2016, 29(5): 52-54.
16.	周馳, 孟凡莉. 美國持續照料退休社區的健康管理模式及啟示. 中國老年學雜志, 2017, 37(2): 518-519.
17.	張悅玲, 解聰. 國外農村養老模式有何特色. 人民論壇, 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.	中西楊華. 日本康復養老運營模式借鑒. 城市開發, 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. 日本養老設施康復景觀設計實例分析//中國園藝療法學術研究會議北京大會暨第一屆園藝療法與康復景觀高峰論壇暨學術研討會論文集. 北京: 中國社會工作聯合會, 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.	湯軍克, 陳林利, 陳建平. 居家養老老年人日常生活活動能力及其影響因素. 中國康復理論與實踐, 2012, 18(4): 372-375.
34.	丁琳, 周婷. 中國老年人康復護理和養老概況及分析. 中國保健營養, 2017, 27(23): 187-188.
35.	姚瑞山, 柯永紅, 袁曉曉, 等. 我國社區居家養老的現狀及分析. 全科護理, 2012, 10(32): 3055-3057.
36.	呂鵬飛, 陳曉玲, 周宏東, 等. 上海市醫養結合養老模式衛生監督困境及對策. 醫學與社會, 2016, 29(2): 71-73.
37.	向釗娣. 居家養老康復期老年人照護所需專職人員//國際老年健康論壇·泰山論文集. 西安: 西安市碑林區老年學學會, 2016: 357-358.
38.	唐路生. 人口老齡化背景下的居家運動健康服務現狀調查—以武漢市為例. 武漢: 華中師范大學, 2016: 33-36.
39.	張程遠. 我國持續照護型養老社區醫療康復區規劃與設計研究. 重慶: 重慶大學, 2018: 26-27.
40.	楊晨. 佛山市南海區" 醫養結合”康復養老模式研究. 長沙: 湖南大學, 2018: 24.
41.	鄭潔皎. 上海康復醫療服務體系中建立老年康復模式探索與研究//中國康復醫學會第七次全國老年醫學與康復學術大會論文集. 哈爾濱: 中國康復醫學會老年健康專業委員會, 2012: 43-46.
42.	卓永岳. 綠康康復養老模式的創新實踐//2011 年浙江省物理醫學與康復學學術年會論文集. 浙江: 浙江省醫師協會, 2011: 129-131.
43.	孫茜. 中醫" 十三五”規劃路: 康復+養老. 中國醫院院長, 2016(19): 30-31.
44.	夏家紅. 武漢市" 醫養結合”模式評析. 長江論壇, 2014(6): 41-43.
45.	王斌. 公立醫院為主體的機構養老探索上海君蓮養老院及失智老人康復治療中心方案介紹. 時代建筑, 2012(6): 64-65.
46.	于濤, 王昊, 余海瑞, 等. 天津市部分養老院康復醫療現狀及服務需求. 中國康復醫學雜志, 2016, 31(1): 77-79.
47.	許揚. 醫養結合養老機構發展困境及對策研究—以J縣N養老康復中心為例. 保定: 河北大學, 2017: 11-13.
48.	管國富. 常州社區老年人慢病康復養老服務基本情況及建議. 江蘇衛生事業管理, 2011, 22(4): 101-103.
49.	羅治安, 羅清平, 羅云, 等. 養老機構老年人康復服務現狀及對康復人才需求的調查研究. 中國康復醫學雜志, 2018, 33(9): 1081-1086.
50.	黃東, 高陽. 關于加快發展公辦民營養老機構的思考—以宿遷市虹楓老年公寓為例. 江蘇經貿職業技術學院學報, 2016(5): 36-39.
51.	王聲菲. 康復花園設計策略研究—以杭州地區養老機構為例. 杭州: 浙江農林大學, 2017: 12-17.
52.	邵娜. 醫養結合模式下養老機構醫療康復空間的設計研究. 絲路視野, 2017(33): 181.
53.	繆金萍, 周靜, 孫麗芳, 等. 常州市養老機構康復服務開展現狀調查分析. 衛生職業教育, 2018, 36(8): 145-146.
54.	張利蘋, 化前珍, 楊波, 等. 西安市養老機構康復服務現況及康復需求調查. 護理研究, 2018, 32(4): 594-596.
55.	黃如意, 胡善菊. 山東省醫養結合模式發展的SWOT分析. 中國衛生事業管理, 2016, 33(2): 145-147.
56.	陳卓銘, 陳玉美, 趙志峰, 等. 圍繞校園社區的三級醫院主導下的醫養康養老服務. 社會福利(理論版), 2016(10): 28-31.
57.	汪結勝, 胡仁美. 一種基于互聯網技術的居家養老智慧云系統: 中國, CN108492850A, 2018-03-13.
58.	孫艷玲, 張偉, 耿慧. 云南省中醫藥健康O2O社區養老服務平臺研究. 中國醫藥導報, 2018, 15(29): 152-156.
59.	田帝, 章豪, 周典. 基于大數據的老年人居家養老云服務平臺構建策略. 中國老年學雜志, 2019, 39(7): 1784-1789.
60.	李杰. 青島" 醫養結合”養老模式問題研究. 中國人力資源開發, 2014(18): 74-80.
61.	王玉龍, 陳曉峰, 肖鵬, 等. 深圳市" 醫保康復養老”模式的開展及探索//中國康復醫學會第七次全國老年醫學與康復學術大會論文集. 哈爾濱: 中國康復醫學會老年健康專業委員會, 2012: 36-38.

1. 國務院人口普查辦公室國家統計局人口和就業統計司. 中國2010年人口普查資料. [2019-05-04]. http://www.stats.gov.cn/tjsj/pcsj/rkpc/6rp/indexch.htm.
2. 全國老齡工作委員辦公室. 國家統計局: 老齡化程度加深勞動年齡人口數量連降7年. (2019-01-24)[2019-05-04]. http://www.cncaprc.gov.cn/contents/2/188549.html.
3. 國務院辦公廳. 《國務院辦公廳轉發衛生計生委等部門關于推進醫療衛生與養老服務相結合指導意見的通知》(國辦發﹝2015﹞84號). (2015-11-18)[ 2019-05-04]. http://www.gov.cn/zhengce/content/2015-11/20/content_10328.htm.
4. Offenb?cher 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. 唐飛泉, 楊律銘. 我國醫養結合模式探索和創新. 現代管理科學, 2018(12): 51-53.
6. 許文麗, 劉化俠, 楊朝霞, 等. 社區老年人醫養康護一體化服務需求及影響因素研究. 中國實用護理雜志, 2019, 35(6): 451-456.
7. 黃曉琳, 燕鐵斌. 康復醫學. 5版, 北京: 人民衛生出版社, 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. 美國自然形成退休社區養老服務模式及啟示. 河南牧業經濟學院學報, 2016, 29(5): 52-54.
16. 周馳, 孟凡莉. 美國持續照料退休社區的健康管理模式及啟示. 中國老年學雜志, 2017, 37(2): 518-519.
17. 張悅玲, 解聰. 國外農村養老模式有何特色. 人民論壇, 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. 中西楊華. 日本康復養老運營模式借鑒. 城市開發, 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. 日本養老設施康復景觀設計實例分析//中國園藝療法學術研究會議北京大會暨第一屆園藝療法與康復景觀高峰論壇暨學術研討會論文集. 北京: 中國社會工作聯合會, 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. 湯軍克, 陳林利, 陳建平. 居家養老老年人日常生活活動能力及其影響因素. 中國康復理論與實踐, 2012, 18(4): 372-375.
34. 丁琳, 周婷. 中國老年人康復護理和養老概況及分析. 中國保健營養, 2017, 27(23): 187-188.
35. 姚瑞山, 柯永紅, 袁曉曉, 等. 我國社區居家養老的現狀及分析. 全科護理, 2012, 10(32): 3055-3057.
36. 呂鵬飛, 陳曉玲, 周宏東, 等. 上海市醫養結合養老模式衛生監督困境及對策. 醫學與社會, 2016, 29(2): 71-73.
37. 向釗娣. 居家養老康復期老年人照護所需專職人員//國際老年健康論壇·泰山論文集. 西安: 西安市碑林區老年學學會, 2016: 357-358.
38. 唐路生. 人口老齡化背景下的居家運動健康服務現狀調查—以武漢市為例. 武漢: 華中師范大學, 2016: 33-36.
39. 張程遠. 我國持續照護型養老社區醫療康復區規劃與設計研究. 重慶: 重慶大學, 2018: 26-27.
40. 楊晨. 佛山市南海區" 醫養結合”康復養老模式研究. 長沙: 湖南大學, 2018: 24.
41. 鄭潔皎. 上海康復醫療服務體系中建立老年康復模式探索與研究//中國康復醫學會第七次全國老年醫學與康復學術大會論文集. 哈爾濱: 中國康復醫學會老年健康專業委員會, 2012: 43-46.
42. 卓永岳. 綠康康復養老模式的創新實踐//2011 年浙江省物理醫學與康復學學術年會論文集. 浙江: 浙江省醫師協會, 2011: 129-131.
43. 孫茜. 中醫" 十三五”規劃路: 康復+養老. 中國醫院院長, 2016(19): 30-31.
44. 夏家紅. 武漢市" 醫養結合”模式評析. 長江論壇, 2014(6): 41-43.
45. 王斌. 公立醫院為主體的機構養老探索上海君蓮養老院及失智老人康復治療中心方案介紹. 時代建筑, 2012(6): 64-65.
46. 于濤, 王昊, 余海瑞, 等. 天津市部分養老院康復醫療現狀及服務需求. 中國康復醫學雜志, 2016, 31(1): 77-79.
47. 許揚. 醫養結合養老機構發展困境及對策研究—以J縣N養老康復中心為例. 保定: 河北大學, 2017: 11-13.
48. 管國富. 常州社區老年人慢病康復養老服務基本情況及建議. 江蘇衛生事業管理, 2011, 22(4): 101-103.
49. 羅治安, 羅清平, 羅云, 等. 養老機構老年人康復服務現狀及對康復人才需求的調查研究. 中國康復醫學雜志, 2018, 33(9): 1081-1086.
50. 黃東, 高陽. 關于加快發展公辦民營養老機構的思考—以宿遷市虹楓老年公寓為例. 江蘇經貿職業技術學院學報, 2016(5): 36-39.
51. 王聲菲. 康復花園設計策略研究—以杭州地區養老機構為例. 杭州: 浙江農林大學, 2017: 12-17.
52. 邵娜. 醫養結合模式下養老機構醫療康復空間的設計研究. 絲路視野, 2017(33): 181.
53. 繆金萍, 周靜, 孫麗芳, 等. 常州市養老機構康復服務開展現狀調查分析. 衛生職業教育, 2018, 36(8): 145-146.
54. 張利蘋, 化前珍, 楊波, 等. 西安市養老機構康復服務現況及康復需求調查. 護理研究, 2018, 32(4): 594-596.
55. 黃如意, 胡善菊. 山東省醫養結合模式發展的SWOT分析. 中國衛生事業管理, 2016, 33(2): 145-147.
56. 陳卓銘, 陳玉美, 趙志峰, 等. 圍繞校園社區的三級醫院主導下的醫養康養老服務. 社會福利(理論版), 2016(10): 28-31.
57. 汪結勝, 胡仁美. 一種基于互聯網技術的居家養老智慧云系統: 中國, CN108492850A, 2018-03-13.
58. 孫艷玲, 張偉, 耿慧. 云南省中醫藥健康O2O社區養老服務平臺研究. 中國醫藥導報, 2018, 15(29): 152-156.
59. 田帝, 章豪, 周典. 基于大數據的老年人居家養老云服務平臺構建策略. 中國老年學雜志, 2019, 39(7): 1784-1789.
60. 李杰. 青島" 醫養結合”養老模式問題研究. 中國人力資源開發, 2014(18): 74-80.
61. 王玉龍, 陳曉峰, 肖鵬, 等. 深圳市" 醫保康復養老”模式的開展及探索//中國康復醫學會第七次全國老年醫學與康復學術大會論文集. 哈爾濱: 中國康復醫學會老年健康專業委員會, 2012: 36-38.

Previous Article
Advances in the prevention and treatment of venous thrombotic diseases after spinal cord injury
Next Article
動脈瘤破裂致蛛網膜下腔出血后全身肌痙攣康復一例

West China Medical Journal

Rehabilitation for the elderly in the aging society

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content