Buchanan Robert J, Martin Raymond A, Wang Suojin, Ju Hyunsu
College of Health and Human Services, University of North Carolina at Charlotte, 9201 University City Blvd., Charlotte, NC 28223-0001, USA.
Mult Scler. 2004 Feb;10(1):74-9. doi: 10.1191/1352458504ms969oa.
This research compares profiles of residents with multiple sclerosis (MS) at admission to the nursing facility with profiles of these same residents one year later using the Minimum Data Set (MDS) to determine how their health and care received changed after one year in the facility. We matched MDS admission assessments with their first annual assessment for 1309 residents with MS. These residents with MS demonstrated deterioration in cognitive performance, communication skills, motor performance and bladder/bowel continence after one year in the facility. However, the proportion of residents with urinary tract infections and the proportion of residents with pressure ulcers declined after one year. A significantly larger proportion of these MS residents had a diagnosis of depression one year after admission, with significantly increased use of antipsychotic and antidepressant medications but little and declining use of psychological therapy after one year in the facility. In addition, there was a significant decline after one year in the use of physical, occupational, and speech therapies. These longer stay residents with MS may benefit from support services directed toward mental health and increased use of physical, occupational and psychological therapies provided in the nursing facility.
本研究使用最小数据集（MDS）比较了入住护理机构时患有多发性硬化症（MS）的居民的状况与一年后这些居民的状况，以确定他们在机构中生活一年后健康状况和接受的护理如何变化。我们将1309名患有MS的居民的MDS入院评估与其首次年度评估进行了匹配。这些患有MS的居民在机构中生活一年后，认知能力、沟通技巧、运动能力以及膀胱/肠道控制能力均出现恶化。然而，一年后患有尿路感染的居民比例和患有压疮的居民比例有所下降。这些患有MS的居民在入院一年后被诊断出患有抑郁症的比例显著更高，抗精神病药物和抗抑郁药物的使用显著增加，但在机构中生活一年后心理治疗的使用很少且呈下降趋势。此外，一年后物理治疗、职业治疗和言语治疗的使用显著减少。这些长期居住的患有MS的居民可能会从针对心理健康的支持服务以及增加在护理机构中提供的物理治疗、职业治疗和心理治疗的使用中受益。
