Seventeen nondemented geriatric day-care attendees were subjected to a reorganized rehabilitation programme.
It is suggested that increased control of and participation in the rehabilitation process might decrease psychoendocrine stress from uncertainty and passivity.
The new programme was a change from a traditional one-shift day-care into a two-shift design with two different patient sets a day.
The programme was more individualized and time-efficient with written short-and long-term goals.
Regular multidisciplinary case conferences were held with the patients to follow and feedback the progress of each individual patient.
The patients were prospectively followed with stress markers such as prolactin, cortisol, dehydroepiandrosterone (DHA - a testosterone metabolite), estradiol, serum lipids and serum glucose.
There was significant increase in anabolic hormones (DHA, estradiol), which contrasted with a significant decrease in catabolic hormones (prolactin, cortisol) during the actual day-care period.
This pattern was restored at the 24-week follow-up for estradiol and prolactin, but with a continuous increase for DHA.
Serum lipids and glucose were unaffected.
This study found psychoendocrine changes that might have been elicited by a reorganization of the delivery of health care in elderly and handicapped patients. (...)
Mots-clés Pascal : Etablissement troisième âge, Hôpital jour, Organisation hospitalière, Organisation santé, Prolactine, Hydrocortisone, Déhydroépiandrostérone, Estradiol, Personne âgée, Homme, Hormone adénohypophysaire, Hormone protéine, Glucocorticoïde, Hormone surrénalienne, Hormone stéroïde, Androgène, Hormone stéroïde sexuelle
Mots-clés Pascal anglais : Homes for the aged, Day hospital, Hospital organization, Public health organization, Prolactin, Hydrocortisone, Dehydroepiandrosterone, Estradiol, Elderly, Human, Adenohypophyseal hormone, Protein hormone, Glucocorticoid, Adrenal hormone, Steroid hormone, Androgen, Sex steroid hormone
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0072686
Code Inist : 002B30A03B. Création : 31/05/1999.