在中国,80岁以上的人群中,残疾人护理和死亡率
Zhanhong Zong1, Norman Hearst2, Xiaoming Sun1
1School of Sociology and Population Sciences, Nanjing University of Posts and Telecommunications, Nanjing, China.
Geriatric nursing (New York, N.Y.)
|June 18, 2025
概括
在日常生活活动 (ADL) 中满足残疾老年人的护理需求,可显著降低中国的死亡风险. 这凸显了对这个日益增长的弱势群体改善护理策略的迫切需要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 在中国,80岁及以上的残疾人日常生活活动 (ADL) 的人口正在迅速扩大.
- 现有的研究表明,在全球范围内,未满足的护理需求与相似的人口统计数据中增加的死亡率之间存在联系,但中国的数据很少.
研究的目的:
- 调查80岁以上ADL残疾中国成年人中满足和未满足的护理需求的流行情况.
- 为了检查满足护理需求和这一群体的死亡风险之间的联系.
- 确定影响满足护理需求的保护作用的因素.
主要方法:
- 来自一项为期10年的全国队列研究的数据分析,涉及4163名80岁以上的ADL残疾成年人.
- 评估自我报告的满足护理需求.
- 统计分析以确定护理需求与死亡率之间的关系,控制相关因素.
主要成果:
- 不到一半 (47.8%) 的参与者报告说,他们的护理需求得到了满足.
- 未满足的护理需求与抑郁症状有显著的关联.
- 照顾需求得到满足的个体与未得到满足的个体相比,死亡率降低了31%.
- 满足护理需求的保护作用在城市居民与农村居民之间更为明显,在已婚与未婚个人之间更为明显.
结论:
- 确保满足护理需求对于降低中国ADL残疾老年人死亡率至关重要.
- 有针对性的干预措施是必要的,以解决城市和农村以及已婚和未婚人口之间的护理提供和结果的差异.
- 开发创新的护理模式对于支持这个日益增长的人口群体至关重要.
相关概念视频
01:26Aging
195
Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
195
01:25Continuing Care
1.6K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.6K
01:19The Effect of Aging on Tissues
2.6K
Several body functions deteriorate with age. The external signs of aging are easily identifiable. For example, the skin becomes dry, less elastic, and thins out, forming wrinkles. The skin of the face begins to appear looser due to a decrease in the levels of elastic and collagen fibers in the connective tissue. Additionally, melanin production in the hair follicle decreases with age, resulting in gray hair. Moreover, the senses of sight and hearing decline, so glasses and hearing aids may...
2.6K
01:22Applications of Life Tables
126
Life tables are versatile across various fields, providing a quantitative basis for analyzing mortality and survival rates. Whether used by demographers, actuaries, epidemiologists, or sociologists, life tables offer valuable insights into the dynamics of life and death, facilitating informed decisions in public health, insurance, conservation, and beyond. Their broad applicability highlights the interconnectedness of demographic data with practical outcomes in everyday life and strategic...
126
01:29Documentation in Long-Term and Home Healthcare Setting
994
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
994
01:29Bone Disorders
4.0K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
4.0K