非正式护理对ADL限制和中风幸存者的不良结果之间的关系的温和影响
Aileen Chou1, Scott R Beach2, Barbara J Lutz3
1Departments of Physical Therapy (A.C., J.K.F.), University of Pittsburgh, PA.
Stroke
|April 25, 2024
概括
非正式的照顾对中风幸存者产生重大影响. 每周更长的护理时间可以防止与日常生活限制相关的不良结果,减少像跌倒和住院等风险.
科学领域:
- 老年学是指老年学的学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 患有日常生活限制的中风幸存者面临更高的跌倒,住院和功能衰退的风险.
- 非正式的照顾是缓解这些不良结果的关键因素.
- 了解照顾者的温和作用对于中风幸存者支持至关重要.
研究的目的:
- 调查非正式照顾如何缓和日常生活活动 (ADL) 限制和中风幸存者的不良结果之间的关系.
- 量化不同级别的非正式照顾者的保护作用.
- 为社区居住中风幸存者确定最佳的护理策略.
主要方法:
- 使用国家健康和衰老趋势研究 (2011-2020) 的数据进行了回顾性队列研究.
- 包括277名社区住宿中风幸存者,至少有一个护理人员和最近的中风.
- 分析了一年后使用Poisson回归的非正式护理时间 (低,中等,高) 和ADL限制 (0-7) 与不良结果 (跌倒,住院,身体功能下降) 相比.
主要成果:
- 该研究中的中风幸存者主要是白人 (69.7%) 和女性 (54.5%),平均年龄为80.5岁.
- 较长的非正式照顾时间与较少的不良结果有关.
- 接受最低数量的非正式护理的幸存者与接受最高数量的幸存者相比,每次ADL限制有0.12个更多的不良结果 (P=0.041).
结论:
- 非正式的护理时间显著缓解了社区中风幸存者的ADL限制和不良结果之间的关联.
- 相对于较低的数量,非正式照顾的增加表明,通过减少每次ADL限制的不良结果率,具有保护作用.
- 这些发现强调了足够的非正式支持中风幸存者的重要性,以改善健康结果和功能独立.
相关概念视频
02:12Relationship Formation
40.0K
What do you think is the single most influential factor in determining with whom you become friends and whom you form romantic relationships? You might be surprised to learn that the answer is simple: the people with whom you have the most contact. This most important factor is proximity. You are more likely to be friends with people you have regular contact with. For example, there are decades of research that shows that you are more likely to become friends with people who live in your dorm,...
40.0K
01:19Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K
01:30Cognitive Development During Adulthood
94
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
94