孤独感与急症和计划住院在社区老年人群体中的关系。
Loneliness and emergency and planned hospitalizations in a community sample of older adults.
机构信息
Department of Psychology, University of Stirling, Stirling, Scotland.
出版信息
J Am Geriatr Soc. 2010 Aug;58(8):1538-41. doi: 10.1111/j.1532-5415.2010.02960.x. Epub 2010 Jul 14.
OBJECTIVES
To examine whether loneliness is independently associated with emergency hospitalization and planned hospital inpatient admissions in a population sample of older adults.
DESIGN
Nationally representative cross-sectional interviews in the Republic of Ireland and Northern Ireland.
SETTING
Private homes in the community.
PARTICIPANTS
Randomly selected older people in the community (aged ≥65, N=2,033).
MEASUREMENTS
Emergency hospitalization and planned hospital admissions.
RESULTS
Eleven percent of the sample had an emergency hospitalization, and 15% had a planned hospital admission. Forty-two percent reported being bothered by loneliness. A higher frequency of loneliness was associated with emergency hospitalization only (odds ratio=1.29, 95% confidence interval=1.08-1.55), and this association was independent of a range of potential confounders in multivariate analysis.
CONCLUSION
In this community-based sample of older adults, greater loneliness was independently associated with emergency hospitalization but not planned inpatient admissions.
目的
在爱尔兰共和国和北爱尔兰的人群样本中，考察孤独感是否与老年人的急诊住院和计划住院入院独立相关。
设计
在爱尔兰共和国和北爱尔兰进行全国代表性的横断面访谈。
地点
社区中的私人住宅。
参与者
社区中随机抽取的老年人（年龄≥65 岁，N=2033）。
测量
急诊住院和计划住院入院。
结果
该样本中有 11%的人急诊住院，15%的人计划住院。42%的人报告说被孤独感困扰。孤独感频率越高，与急诊住院的相关性越强（比值比=1.29，95%置信区间=1.08-1.55），且在多变量分析中，这种相关性独立于一系列潜在的混杂因素。
结论
在这项基于社区的老年人样本中，较高的孤独感与急诊住院独立相关，但与计划住院入院无关。
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