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中国养老院居民的困难和脆弱性轨迹:一个前性队列研究
Shan Wang1, Kefang Wang1, Lingping Luo1
1School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China.
Geriatrics & gerontology international
|October 4, 2023
概括
养老院居民随着时间的推移表现出各种脆弱变化. 困难显著增加了稳定或渐进的脆弱的风险,突出需要例行口腔健康评估.
科学领域:
- 老年学是一门学科.
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 虚弱是养老院居民的一个重大问题,影响健康结果和生活质量.
- 了解脆弱性轨迹对于开发有针对性的干预措施至关重要.
- 困难是老年人常见的问题,可能会影响营养摄入量和整体健康.
研究的目的:
- 为了调查养老院居民的脆弱的不同轨迹.
- 确定困难是否是这些脆弱轨迹的重要预测因素.
主要方法:
- 一项为期一年的前性队列研究,涉及中国269名养老院居民.
- 隐性类增长建模被用来识别不同的脆弱轨迹.
- 多级多项逻辑回归分析了基线难度和脆弱性轨迹之间的关联.
主要成果:
- 确定了三个脆弱性轨迹:非脆弱性 (67.3%),稳定脆弱性 (19.3%),以及渐进的脆弱性 (13.4%).
- 超过一半的居民 (51.3%) 报告说难.
- 困难与稳定的脆弱性 (RRR=2.55) 和渐进的脆弱性 (RRR=3.46) 的可能性较高,相比于非脆弱性轨迹.
结论:
- 养老院居民的脆弱性进展是异质的.
- 困难是恶化脆弱性的重要危险因素.
- 建议在养老院进行常规的困难评估和管理,以防止脆弱性恶化.
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