对养老院的不良调整和1年死亡率:KASEHPAD队列研究的二次分析
Denis Boucaud-Maitre1,2, Hélène Amieva3, Océane Pic3
1Centre Hospitalier Le Vinatier, Bron, France denis.boucaud@gmail.com.
BMJ open
|December 4, 2025
概括
老年人的养老院调整不良与抑郁症状有关,并显著增加1年死亡风险. 解决这些因素对于改善居民福祉和生存率至关重要.
科学领域:
- 老年学是一门学科.
- 老年医学 老年医学
- 心理老年病 心理老年病
背景情况:
- 养老院过渡给老年人带来了重大的适应挑战.
- 识别与不良调整相关的因素对于改善居民结果至关重要.
- 这项研究调查了养老院调整对1年死亡率的影响.
研究的目的:
- 确定与老年人养老院调整不良相关的因素.
- 评估不良调整对1年死亡率的影响.
- 为改善养老院居民适应和生存的干预措施提供信息.
主要方法:
- 对KASEHPAD前性观察队列研究的二次分析.
- 在法国加勒比地区养老院的159名老年人 (≥60岁) 使用EAPAR适应量表进行了评估.
- 双变量和Poisson回归分析检查了调整,特征和1年死亡率之间的关联.
主要成果:
- 几乎一半 (49.1%) 的老年人经历了糟糕的养老院调整.
- 适应不良与抑郁症状,社会支持低,生活质量差,营养不良和睡眠障碍有关.
- 适应不良的组具有显著更高的一年死亡率 (17.9%对4.9%).
结论:
- 对养老院环境的适应不良与抑郁症状有关.
- 养老院调整显著影响老年人1年死亡风险.
- 需要进一步的研究和干预研究来应对养老院调整的挑战.
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
1.4K
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
1.4K
Restorative Care
2.3K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.3K
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
Planning Nursing Care I
5.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.5K
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion
221
In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
221
Drug Dosing: Geriatric Patients
212
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
212

