什么导致家庭护理客户认知能力下降? 分析来自加拿大各地的interRAI数据
Blake Filderman1, Nicole Williams2, Amanda Mofina3
1Department of Health Sciences, Wilfrid Laurier University, Waterloo, ON, Canada.
BMC geriatrics
|October 12, 2024
概括
大约25%的加拿大家庭护理客户经历了认知衰退. 关键的风险因素包括晚年,痴呆症诊断,不活动和护理人员负担,突出了早期识别和干预的必要性.
科学领域:
- 老年学是指老年学的学科.
- 认知科学 认知科学
- 公共卫生 公共卫生
背景情况:
- 使用interRAI认知表现量表 (CPS) 检查认知衰退的风险因素.
- 确定了在接受家庭护理的老年人认知功能恶化的预测因素.
研究的目的:
- 确定与加拿大家庭护理接受者的认知衰退相关的重大风险因素.
- 为老年人群中认知障碍的早期检测策略提供信息.
主要方法:
- 对146,187名加拿大家庭护理客户 (65岁以上) 的回顾性队列研究,基线CPS得分为零.
- 从2001-2020年间的家庭护理居民评估仪器 (RAI-HC) 中利用了二次数据.
- 认知衰退定义为12个月内在两个评估之间CPS得分的任何增加.
主要成果:
- 25.2%的客户在平均7个月的时间里经历了认知能力下降.
- 有意义的预测因素包括老年,阿尔茨海默氏症/痴呆症诊断,身体不活动和护理人员负担.
- 平均年龄为80.6岁; 67.9%是女性,44.5%是寡妇.
结论:
- 认知衰退影响了大约四分之一的家庭护理客户,强调需要主动监测.
- 早期识别可修改的风险因素 (例如,不活动,护理人员压力) 对于干预至关重要.
- 有针对性的干预措施可以通过解决已识别的风险因素来优化客户及其家人的福祉.
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