在老年痴呆症患者中报告未满足的助听器需求:美国国家核心指标调查
Dana P Urbanski1, Jack M Wolf2, Benjamin W Langworthy2
1Department of Speech-Language-Hearing Sciences, University of Minnesota, Minneapolis, MN, USA; Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Journal of the American Medical Directors Association
|April 21, 2024
概括
在家生活的阿尔茨海默氏症和相关痴呆症 (ADRD) 的老年人报告说,未满足的助听器需求比在护理机构的需求更频繁. 干预措施应针对家庭环境中的ADRD患者.
科学领域:
- 老年学和衰老研究研究.
- 公共卫生干预 公共卫生干预
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 助听器为患有阿尔茨海默病和相关痴呆症 (ADRD) 的老年人提供了显著的健康益处.
- 在这个弱势群体中,助听器的采用率仍然很低.
- 了解未得到满足的需求对于有效的干预准至关重要.
研究的目的:
- 在美国长期护理患者中确定助听器干预的最佳目标.
- 检查ADRD,居住类型和未满足的助听器需求之间的关联.
主要方法:
- 采用国家核心指标-老龄化和残疾调查 (2015-2019) 的数据进行的跨部门研究.
- 包括65岁及以上的长期护理接受者.
- 多变量后勤回归分析了未满足的助听器需求,根据ADRD状态和居住类型进行调整.
主要成果:
- 在非助听器所有者中,ADRD和居住类型与未满足的助听器需求有关.
- 在自己/家庭家庭 (AOR 1.85) 和住院护理 (AOR 1.30) 的受访者比在养老院的受访者更有可能报告未满足的需求.
- 这种模式在ADRD患者中被放大,表明ADRD和居住类型之间的相互作用.
结论:
- 与机构机构相比,在家庭环境中居住的ADRD的长期护理接受者报告说,未满足的助听器需求更高.
- 研究结果强调,需要为生活在社区环境中的ADRD老年人提供量身定制的听力干预措施.
- 这项研究为这个人群设计和提供听力健康服务提供了信息.
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