The interest in physiotherapy programs for individuals in hospice is increasing. The aim of our study was to assess the impact of a multi-component, individualized physiotherapy program on the functional and emotional conditions and quality of life of patients receiving hospice services in the home. The study included 60 patients (mean 66.3 years) receiving hospice services in the home. A model of a physiotherapy program was designed, including breathing, strengthening, transfer, gait, balance, functional, and ergonomic exercises, as well as an adaptation of the patient’s living environment to functional needs. The tests were performed before and after the intervention. The study used the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) scales, the World Health Organization Quality of Life - Bref (WHOQOL-BREF), the Visual Analogue Scale (VAS) pain scale, the Tinetti POMA Scale, and the Geriatric Depression Scale (GDS). To enable comparison of our results worldwide, a set of International Classification of Functioning, Disability and Health (ICF) categories was used. The average functional level of the ADL (mean 2.9) and the IADL (mean 11.9), as well as the WHOQOL-BREF (mean 46.4) of the patients before the intervention were low, whereas the intensity of pain (VAS mean 5.8), the risk of falling (Tinetti mean 8.2), and depression (GDS mean 16.7) were recorded as high. After the completion of the intervention program, a significant improvement was found in the ADL (mean 4.0), IADL (mean 13.9), WHOQOL-BREF (mean 52.6), VAS (mean 5.1), risk of falling (Tinetti mean 12.3), and GDS (mean 15.7) scores. The physiotherapeutic intervention had a significant impact on improving the performance of ADL, as well as the emotional state and quality of life of patients receiving hospice services in the home. The results of our research provide evidence of the growing need for physiotherapy in individuals in hospice and for comprehensive assessment by means of ICF. Registered 02.12.2009 in the Research Registry ( https://www.researchregistry.com/why-register ) under the number research registry 5264.

中文翻译：

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评估多成分、个性化物理治疗计划对在家接受临终关怀服务的患者的效果。

人们对临终关怀中心的物理治疗项目的兴趣正在增加。我们研究的目的是评估多成分、个性化的物理治疗计划对在家接受临终关怀服务的患者的功能和情绪状况以及生活质量的影响。该研究包括 60 名在家中接受临终关怀服务的患者（平均年龄 66.3 岁）。设计了物理治疗方案的模型，包括呼吸、力量、转移、步态、平衡、功能和人体工程学练习，以及根据功能需要调整患者的生活环境。测试在干预之前和之后进行。该研究使用了日常生活活动（ADL）和工具性日常生活活动（IADL）量表、世界卫生组织生活质量-Bref（WHOQOL-BREF）、视觉模拟量表（VAS）疼痛量表、Tinetti POMA量表和老年抑郁量表（GDS）。为了能够在全球范围内比较我们的结果，使用了一组国际功能、残疾和健康分类 (ICF) 类别。干预前患者的ADL（平均2.9）和IADL（平均11.9）以及WHOQOL-BREF（平均46.4）的平均功能水平较低，而疼痛强度（VAS平均5.8），跌倒风险（Tinetti 平均值 8.2）和抑郁风险（GDS 平均值 16.7）被记录为高风险。干预计划完成后，ADL（平均4.0）、IADL（平均13.9）、WHOQOL-BREF（平均52.6）、VAS（平均5.1）、跌倒风险（Tinetti平均12.3）、和 GDS（平均 15.7）分数。物理治疗干预对改善 ADL 表现以及在家中接受临终关怀服务的患者的情绪状态和生活质量具有显着影响。我们的研究结果证明，临终关怀中心对物理治疗以及通过 ICF 进行综合评估的需求日益增长。于 2009 年 12 月 2 日在研究登记处 ( https://www.researchregistry.com/why-register ) 注册，研究登记号为 5264。