加利福尼亚州养老院居民的人工营养偏好
Lee A Jennings1, Li-Jung Liang2, Neil S Wenger2
1Reynolds Section of Geriatrics and Palliative Medicine, Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Journal of the American Geriatrics Society
|May 19, 2025
概括
在加利福尼亚州痴呆症老人院居民中,食管使用的种族差异仍然存在. 对人工营养的偏好因种族和民族而异,这表明潜在的终身护理不平等.
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
- 健康 公平 卫生 公平
背景情况:
- 输卵管使用对晚期痴呆症患者没有被证明的好处.
- 尽管输卵管使用率下降,但种族差异仍然存在.
- 了解人工营养中的这些差异对于养老院居民至关重要.
研究的目的:
- 为了检查加利福尼亚州养老院居民在六年内的人工营养偏好.
- 为了识别食管使用的种族和民族差异.
- 分析基于认知和逗留时间的差异.
主要方法:
- 利用了加利福尼亚养老院最低数据集 (MDS) 和医生订单维持生命治疗 (POLST) 数据 (2011-2016).
- 进行了对人工营养偏好的横截面分析.
- 雇佣物流混合效应回归,根据居民和设施特征进行调整.
主要成果:
- 在研究期间,人工营养偏好保持稳定.
- 对人工营养的偏好随着认知障碍和心肺复苏指令的存在而增加.
- 观察到人工营养偏好存在显著的种族和民族差异,特别是在严重认知障碍的居民中.
结论:
- 在患有痴呆症的养老院居民中,对于输卵管使用生命维持治疗 (POLST) 的医生订单存在持续的种族和种族差异.
- 这些差异可能反映出终身护理质量的不平等.
- 进一步调查护理质量差异是有必要的.
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