在社区居住的老年人中,生命最后一年的卧床状态
Katherine A Ornstein1, Mary Louise Pomeroy1, Hanna Charankevich1
1Center for Equity in Aging, School of Nursing, Johns Hopkins University, Baltimore, Maryland.
JAMA network open
|February 3, 2026
概括
在临终期痴呆症的老年人中,卧床状态很常见,这显著增加了护理人员的负担. 这凸显了为这些人提供更好的家庭护理服务的需要.
科学领域:
- 老年学是指老年学的学科.
- 抚慰性护理是一种缓解性护理.
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 老年人在社区生活的时间越来越长,增加了对终身护理的需求.
- 痴呆症显著影响生命终结轨迹,往往导致卧床状态和高照顾者需求.
研究的目的:
- 为了估计生活在社区的老年人中,在生命的最后一年中被卧床状态的流行率.
- 检查与卧床状态相关的特征,特别是基于痴呆状态的差异.
- 评估对护理人员支持需求的影响.
主要方法:
- 使用国家健康和衰老趋势研究数据 (2011-2023) 进行横截面研究.
- 在死亡前12个月居住在社区的65岁以上的已故人.
- 定义了卧床状态和可能的痴呆症;使用多变量回归来分析关联.
主要成果:
- 16.6%的死者在生命的最后一年被困在床上,占260万个人.
- 可能的痴呆症与几乎5倍更大的卧床几率相关 (OR=4.58).
- 与非卧床患者相比,卧床患者每周需要近3倍的护理时间.
结论:
- 卧床状态在社区居住的老年人中普遍存在,这些老年人患有临终期痴呆症.
- 这种情况对护理人员提出了巨大的要求,强调了对全方位家庭护理的需求.
- 迫切需要为患者和家人提供可访问的支持服务制定政策.
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