家庭和社区服务是否会延迟低护理需求的老年人脆弱的开始?
Noriko Yoshiyuki1, Takuma Ishihara2, Ayumi Kono1
1Department of Community-based Integrated Care Science, School of Nursing, Osaka Metropolitan University, Osaka, Japan.
Journal of the American Medical Directors Association
|July 13, 2023
概括
成人日间服务显著降低了低护理需求的老年人虚弱的风险. 这一发现凸显了这些服务在预防需要长期护理的人的脆弱性方面的重要性.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 虚弱是老年人的一个重要问题,增加了他们对不良健康结果的风险.
- 早期干预至关重要,以延迟脆弱的出现并保持独立性.
- 成人日间服务和个人援助服务是对有较低护理需求的老年人潜在的干预措施.
研究的目的:
- 调查成年人日间服务或个人辅助服务是否可以延迟虚弱的开始.
- 评估这些服务在低护理需求的老年人5年随访期间的影响.
主要方法:
- 使用长期护理和医疗保险索赔数据的前性队列研究.
- 包括日本大阪65岁以上655名非脆弱或脆弱前的成年人.
- 用考克斯回归模型分析了5年的每月服务使用率和脆弱性发作.
主要成果:
- 在5年的随访期间,222名参与者 (33.9%) 在5年随访期间出现了虚弱.
- 成人日间服务的使用与虚弱的风险降低有关 (HR 0.60,P = .006).
- 个人辅助服务的使用与脆弱性发作没有显著的关联 (HR 0.70,P = .07).
结论:
- 成人日间服务可以有效地降低低护理需求的老年人虚弱的风险.
- 这些发现强调了成年人日间服务在预防需要长期护理的人的脆弱性方面的价值.
- 该研究支持将成人日间服务纳入长期护理战略.
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