加拿大老年长期护理居民中与情绪转变相关的因素:一个多州过渡模型
Reem T Mulla1, John P Hirdes1, Carrie McAiney2
1School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
概括
疼痛和攻击性行为显著恶化了长期护理居民的情绪. 有针对性的干预措施可以改善情绪,为改善居民福祉和护理质量提供机会.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在长期护理 (LTC) 的老年人中,情绪障碍很普遍.
- 了解情绪转变对于改善居民生活质量至关重要.
研究的目的:
- 为了检查LTC居民的情绪状态过渡.
- 为了确定影响这些情绪转变的因素.
主要方法:
- 在加拿大LTC家庭65岁以上居民的回顾性纵向分析 (2010-2020).
- 使用了一步马尔科夫多态过渡模型和interRAI MDS 2.0数据.
- 经过培训的人员在入院后两周内完成了评估.
主要成果:
- 46%的住户在入院时没有情绪障碍;31%轻度;23%中度/严重.
- 情绪恶化与侵略性行为,健康不稳定,认知障碍,并发病,疼痛,睡眠不良,冲突和焦虑有关.
- 阿尔伯塔省的设施显示与情绪恶化有关.
结论:
- 疼痛和攻击性行为是影响LTC情绪的关键可修改因素.
- 有针对性的干预措施为改善居民情绪提供了重大机会.
- 这些发现强调了在LTC环境中需要积极的情绪管理策略.
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