痴呆症护理研究和心理社会因素
Justine Seidenfeld1, Lindsay Zepel2, Valerie Smith2
1Durham VA Healthcare System, Durham, NC, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
老年,抑郁和慢性疾病减少了痴呆症患者在急诊后回家的时间. 有针对性的干预措施可以改善这些人的生活质量.
科学领域:
- 老年学是一门学科.
- 痴呆症护理 痴呆症护理 痴呆症护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 紧急部门 (ED) 的访问对患有痴呆症的人 (PLWD) 构成短期风险.
- 对于ED访问对PLWD生活质量的长期影响尚不清楚.
- 家庭时间,定义为活着的日子和护理环境之外的时间,是一个新兴的结果指标.
研究的目的:
- 为了确定患者和ED访问特征,与PLWD后ED访问的家庭时间变化相关.
- 了解影响PLWD在紧急护理后的长期结果的因素.
主要方法:
- 对51,707名退伍军人PLWD进行了回顾性观察研究,其中至少有一次VAED访问 (2016-2018).
- 利用VA和CMS数据来定义退伍军人的特征和结果.
- 负二项回归与VAMC级随机效应,以分析ED访问后180天的回家时间.
主要成果:
- 年龄较大,从未结婚/离婚/丧偶状态,抑郁症和患有慢性病的急救诊所访问与减少家居时间有关.
- 女性性别和较低的临床脆弱性与增加的家庭时间有关.
- 该队列主要是男性 (97.6%),白人 (73.0%),平均年龄为79.9岁.
结论:
- 患者和ED访问特征显著影响到180天后的PLWD回家时间.
- 老年,脆弱,未婚和男性患者,以及患有慢性疾病的患者,在家的时间减少了.
- 加强出院规划和解决心理社会因素等干预措施可能会改善PLWD的生活质量.
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