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功能受限老年人参加成人日托中心的决定因素。

Determinants of adult day center attendance among older adults with functional limitations.

作者信息

Savard Jacinthe, Leduc Nicole, Lebel Paule, Béland François, Bergman Howard

机构信息

SOLIDAGE Reseach Group, Université de Montréal and McGill University, Montreal, Quebec, and Occupational Therapy Program, University of Ottawa, 451 Smyth Road, Ottawa, Ontario K1H 8M5, Canada.

出版信息

J Aging Health. 2009 Oct;21(7):985-1015. doi: 10.1177/0898264309344311.

Abstract

OBJECTIVE

To examine factors related to regularity of adult day center (ADC) attendance among seniors with functional limitations.

METHODS

Using data collected as part of a larger study, we identified the proportion of scheduled days attended among 101 ADC users in Montréal and identified determinants of this attendance.

RESULTS

More regular attendance was associated with previous profession of ADC participant or spouse in a sector other than health care, receiving formal help for activities of daily living or instrumental activities of daily living on days of expected ADC participation, participating for the whole day rather than half a day, lower participation in prevention and health-promotion activities, and lower caregiver burden among persons with cognitive impairments and higher caregiver burden among persons without cognitive impairments.

DISCUSSION

To enhance ADC intervention effects, levels of participation should be maximized. Study findings suggest ways to promote more regular attendance.

摘要

目的

探讨功能受限老年人成人日间护理中心(ADC)出勤规律的相关因素。

方法

利用作为一项更大规模研究一部分收集的数据,我们确定了蒙特利尔101名ADC使用者的预定出勤天数比例,并确定了该出勤情况的决定因素。

结果

出勤更规律与ADC参与者或配偶之前从事医疗保健以外的行业、在预期参加ADC的日子里接受日常生活活动或工具性日常生活活动的正式帮助、全天而非半天参与、较少参与预防和健康促进活动、认知障碍者的照顾者负担较低以及非认知障碍者的照顾者负担较高有关。

讨论

为提高ADC干预效果,应最大限度地提高参与水平。研究结果提出了促进更规律出勤的方法。

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