在辅助生活社区的严重精神疾病:与养老院安置协会
Helena Temkin-Greener1, Wenhan Guo1, Brian McGarry2
1Department of Public Health Sciences, University of Rochester School of Medicine & Dentistry, Rochester, NY, USA.
Journal of the American Medical Directors Association
|April 4, 2024
概括
严重精神疾病 (SMI) 和阿尔茨海默氏症
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 辅助生活 (AL) 设施为越来越多具有复杂健康需求的居民提供服务.
- 了解严重精神疾病 (SMI) 和阿尔茨海默氏症和相关痴呆症 (ADRD) 的患病率对于护理规划至关重要.
- 需要进一步研究SMI,ADRD和长期护理过渡之间的相互作用.
研究的目的:
- 为了确定SMI和同时发生的ADRD在AL的医疗保险受益者中的患病率.
- 检查SMI和永久养老院 (NH) 安排之间的关联.
- 调查ADRD如何改变SMI和NH安置之间的关系.
主要方法:
- 在17265个AL社区的289,350名医疗保险受益人的回顾性队列研究 (2018-2019).
- 对居民进行长达2年的随访,以获得永久的NH安置 (定义为>90天连续停留).
- 用AL级随机效应的线性概率模型来分析SMI,ADRD和NH位置关联.
主要成果:
- 超过一半的AL居民 (55.65%) 患有SMI,主要是严重抑郁症,精神分裂症或双相情感障碍.
- 精神分裂症和双相情感障碍与NH安置的可能性降低有关.
- ADRD增加了NH安置风险,特别是当与精神分裂症或双相情感障碍同时发生时.
结论:
- 精神分裂症和双相情感障碍,特别是ADRD,显著提高了长期安置在养老院的风险.
- 辅助生活设施可能没有足够的设备来管理同时出现SMI和ADRD的居民.
- 这些发现强调了需要在AL环境中加强对这一弱势群体的支持和护理模式.
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