痴呆症护理研究和心理社会因素
Julia G Burgdorf1, David Russell2, Chanee D Fabius3
1Center for Home Care Policy & Research, New York, NY, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
健康状况恶化,包括认知和功能下降,增加了患有痴呆症 (PwD) 的人的护理网络不稳定性的风险. 在这些转变期间,有针对性的护理人员支持对于稳定的痴呆症护理至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在美国,大多数痴呆症患者 (PwD) 都依赖社区的无偿照顾者网络.
- 护理网络的不稳定性,定义为护理人员无法或不愿继续照顾,是一个越来越令人担忧的问题.
- 了解与网络不稳定性相关的因素至关重要,特别是对于具有较高社会脆弱性的双重注册PWD来说.
研究的目的:
- 确定与社区生活,双重登记的痴呆症患者 (PwD) 护理网络不稳定性相关的因素.
主要方法:
- 从2021-2022年长度数据链接健康计划,医疗补助申请和临床评估为2,841个双重注册的PWD.
- 多变量通用线性模型被用来估计事件网络不稳定的调整概率.
主要成果:
- 在PWD健康状况下降与护理人员不愿意或无法继续照顾有很强的关联.
- 增加的认知障碍 (aOR: 2.98),功能障碍 (aOR: 1.71),肠道失禁 (aOR: 2.33) 和护理阻力 (aOR: 2.47) 预测了更高的事件网络不稳定性.
结论:
- 健康和功能状况的变化是潜在的护理不稳定性的关键指标.
- 在这些转折点期间,为护理人员提供有针对性的支持对于维持社区生活PWD的稳定痴呆症护理至关重要.
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