| 项目 | 分数 | 内容 | 得分 |
|---|---|---|---|
| 1. 大便控制 | 10 |
|
{{ form.scores[0] }} |
| 5 |
|
||
| 0 |
|
||
| 2. 小便控制 | 10 |
|
{{ form.scores[1] }} |
| 5 |
|
||
| 0 |
|
||
| 3. 个人卫生 | 5 |
|
{{ form.scores[2] }} |
| 0 |
|
||
| 4. 入厕 | 10 |
|
{{ form.scores[3] }} |
| 5 |
|
||
| 0 |
|
||
| 5. 进食 | 10 |
|
{{ form.scores[4] }} |
| 5 |
|
||
| 0 |
|
||
| 6. 床和椅转移 | 15 |
|
{{ form.scores[5] }} |
| 10 |
|
||
| 5 |
|
||
| 0 |
|
||
| 7. 行走于平地上 | 15 |
|
{{ form.scores[6] }} |
| 10 |
|
||
| 5 |
|
||
| 0 |
|
||
| 8. 穿脱衣服 | 10 |
|
{{ form.scores[7] }} |
| 5 |
|
||
| 0 |
|
||
| 9. 上下楼梯 | 10 |
|
{{ form.scores[8] }} |
| 5 |
|
||
| 0 |
|
||
| 10. 洗澡 | 5 |
|
{{ form.scores[9] }} |
| 0 |
|
||
| 总分： | {{ form.totalScore }} 分 |