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在日本长期护理保险制度中,提高家庭援助服务使用者资格等级的预测因素。

Predictors for increasing eligibility level among home help service users in the Japanese long-term care insurance system.

机构信息

Program in Physical and Occupational Therapy, Nagoya University Graduate School of Medicine, Nagoya 461-8673, Japan.

出版信息

Biomed Res Int. 2013;2013:374130. doi: 10.1155/2013/374130. Epub 2013 Sep 9.

DOI:10.1155/2013/374130
PMID:24089675
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3782138/
Abstract

OBJECTIVES

This cross-sectional study described the prevalence of possible risk factors for increasing eligibility level of long-term care insurance in home help service users who were certified as support level 1-2 or care level 1-2 in Japan.

METHODS

Data were collected from October 2011 to November 2011. Variables included eligibility level, grip strength, calf circumference (CC), functional limitations, body mass index, memory impairment, depression, social support, and nutrition status.

RESULTS

A total of 417 subjects (109 males and 308 females, mean age 83 years) were examined. There were 109 subjects with memory impairment. When divided by cut-off values, care level 2 was found to have higher prevalence of low grip strength, low CC, and depression.

CONCLUSIONS

Some potentially modifiable factors such as muscle strength could be the risk factors for increasing eligibility level.

摘要

目的

本横断面研究描述了在日本,被认定为支援 1-2 级或护理 1-2 级的居家援助服务使用者中,长期护理保险资格等级升高的可能危险因素的流行情况。

方法

数据收集于 2011 年 10 月至 11 月。变量包括资格等级、握力、小腿围(CC)、功能障碍、体重指数、记忆障碍、抑郁、社会支持和营养状况。

结果

共检查了 417 名受试者(109 名男性和 308 名女性,平均年龄 83 岁)。有 109 名受试者有记忆障碍。按截止值划分,护理 2 级的握力低、CC 低和抑郁的患病率较高。

结论

一些潜在的可改变的因素,如肌肉力量,可能是资格等级升高的危险因素。

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