在社区居住的老年人中,根据痴呆症状况的社会隔离和住院治疗
Mary Louise Pomeroy1,2, Mfon Umoh2,3, Yiqing Qian1
1Center for Equity in Aging, School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
概括
社会隔离显著增加了痴呆症患者住院的风险. 加强社会联系的干预措施可能会减少这一群体的医疗保健使用.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 社会隔离是健康问题的已知危险因素,包括痴呆症.
- 它对已经被诊断患有痴呆症的人的影响需要进一步调查.
- 这项研究探讨了社会隔离与痴呆症患者的健康结果之间的研究不足的关联.
研究的目的:
- 检查社会隔离与住院治疗之间的关联.
- 为了比较老年人与没有痴呆症之间的这种关联.
- 确定减少医疗保健利用的潜在目标.
主要方法:
- 使用全国代表性数据的观察性队列研究 (国家健康和衰老趋势研究).
- 包括2015-2016年社区居住的5,533名医疗保险受益者.
- 多变量逻辑回归分析了社会隔离 (4项类型) 和随后的住院治疗,按痴呆症状况分层.
主要成果:
- 20.7%的老年人经历过社会孤立,痴呆症患者 (35.4%) 的情况更高.
- 社会隔离与痴呆症患者住院的可能性增加了1.68倍.
- 观察到痴呆症对社会隔离-住院病人的关联有显著的缓解效应 (OR: 1.70).
结论:
- 痴呆症患者中,社会隔离是很常见的,预测住院率更高.
- 减少社会隔离可能是减少急性医疗利用率的关键策略.
- 加强社会联系对于改善痴呆症患者健康状况至关重要.
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