患有阿尔茨海默病的成人日托服务对象对家庭式正规服务的使用情况。
Use of home-based formal services by adult day care clients with Alzheimer's disease.
作者信息
Skarupski Kimberly A, McCann Judith J, Bienias Julia L, Wolinsky Fredric D, Aggarwal Neelum T, Evans Denis A
机构信息
Rush Institute for Healthy Aging, 1645 W. Jackson, Chicago, IL, USA.
出版信息
Home Health Care Serv Q. 2008;27(3):217-39. doi: 10.1080/01621420802320009.
OBJECTIVES
To explore the association between adult day care (ADC) attendance and utilization of home-based formal services among people with Alzheimer's Disease (AD).
METHODS
Data for this secondary analysis came from a longitudinal parent study of 457 subjects from 16 ADC programs and an Alzheimer's diagnostic center in metropolitan Chicago. We used the method of Generalized Estimating Equations to model the use of home-based formal services over time.
RESULTS
Adjusting for relevant covariates, more days of ADC use at each follow-up was associated with decreased use of home-based formal services (coefficient = .25, p< .0001). Older, unmarried caregivers who are children of the care recipients had lower use of home-based services.
DISCUSSION
Results suggest that ADC services may substitute for specific types of home-based formal services. The projected increase in AD prevalence over the next several decades warrants a clearer understanding of how people with AD use formal services.
目的
探讨阿尔茨海默病（AD）患者参加成人日托（ADC）与使用家庭正规服务之间的关联。
方法
本次二次分析的数据来自一项纵向母研究，该研究涉及芝加哥大都市地区16个成人日托项目和一个阿尔茨海默病诊断中心的457名受试者。我们使用广义估计方程法对随时间推移使用家庭正规服务的情况进行建模。
结果
在对相关协变量进行调整后，每次随访时成人日托使用天数越多，与家庭正规服务使用减少相关（系数 = 0.25，p < 0.0001）。作为受照顾者子女的年龄较大的未婚照顾者使用家庭服务的比例较低。
讨论
结果表明，成人日托服务可能替代特定类型的家庭正规服务。未来几十年预计AD患病率会上升，这就需要更清楚地了解AD患者如何使用正规服务。
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