活跃寿命和终端依赖:33年长期老年护理的趋势
1Department of Geriatric Medicine, Queen's University of Belfast.
Lancet (London, England)
|February 6, 1988
概括
医学进步正在延长活跃的预期寿命,但也增加了老年人终极依赖的持续时间. 这一趋势需要专注于减少晚年老年人的残疾.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 老年医学 老年医学
背景情况:
- 研究医学进步对老年人依赖性的影响.
- 分析长期护理入院和寿命利用的趋势.
- 检查活跃寿命和终端依赖之间的关系.
研究的目的:
- 确定医学的进步是否增加或减少老年人的依赖.
- 评估与寿命相关的终端依赖的持续时间.
- 分析老龄化和依赖趋势中的性别差异.
主要方法:
- 从1954年到1986年,分析了24117名老年病房的入院情况.
- 追踪长期护理入院时的平均年龄变化.
- 评估在长期护理中住院的中位数时间和寿命比例.
主要成果:
- 长期护理入院的平均年龄每年在两种性别中都会增加.
- 住院的中位数长度和在护理中的寿命比例增加,尤其是女性.
- 活跃寿命和终端依赖延迟增加,但终端依赖的持续时间也增加,更多的是女性.
结论:
- 虽然活跃的预期寿命正在增加,但终端依赖的持续时间也在延长.
- 医学进步推迟了残疾,但延长了晚年老年人的依赖期.
- 减少老年人的残疾和依赖性至关重要,因为预期寿命继续上升.
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