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建立养老院居民生活质量测量的有效性:使用英格兰试点最低数据集数据进行横截面分析
Stephen Allan1, Stacey Rand2, Ann-Marie Towers3
1Personal Social Services Research Unit (PSSRU), University of Kent, Kent, UK. S.Allan@kent.ac.uk.
Health and quality of life outcomes
|April 5, 2025
概括
三种生活质量 (QoL) 措施,ASCOT-Proxy-Resident,ICECAP-O和EQ-5D-5L Proxy 2,在养老院居民中显示出可以接受的构造有效性. 这些补充措施捕捉了QOL的不同方面,并且适用于未来的最小数据集 (MDS).
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 心理测量 心理测量 心理测量
背景情况:
- 评估护理质量需要强有力的政策干预措施和护理改进措施.
- 在英格兰,关于对养老院居民采取适当的生活质量 (QoL) 措施的证据有限.
- "养老院收养资源和最低数据集的发展" (DACHA) 研究试行了养老院居民的最低数据集 (MDS).
研究的目的:
- 为了评估三种QOL测量方法的区分构造有效性:ASCOT-Proxy-Resident,ICECAP-O和EQ-5D-5L Proxy 2.
- 通过假设测试,识别与养老院居民的 QoL 相关的因素.
- 提供证据证明这些QOL措施是否适合纳入未来的MDS.
主要方法:
- 利用了679名养老院居民 (65岁以上) 的数据,与健康和提供者记录联系起来.
- 管理的与社会护理,能力和健康相关的QoL的代理报告措施 (ASCOT-Proxy-Resident, ICECAP-O, EQ-5D-5L Proxy 2).
- 采用多级回归模型来分析QoL的影响 (人口统计,功能/认知能力,养老院因素,服务使用) 和多次归算缺失数据.
主要成果:
- 这三种QoL测量都表现出可接受的构造有效性,捕捉了不同的QoL方面.
- 质量指标与认知障碍有负相关性;ICECAP-O和EQ-5D-5L Proxy 2也与功能能力有负相关性.
- ASCOT-Proxy-Resident与居民和养老院水平的质量和护理效率有积极的相关性.
结论:
- ASCOT-Proxy-Resident,ICECAP-O和EQ-5D-5L Proxy 2具有可接受的构造有效性,可用于养老院.
- 这三项措施是互补的,反映了不同的QOL结构.
- 这些发现支持将这些验证的质量质量指标纳入未来的最低数据集 (MDS).
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