以色列社区中患有晚期痴呆症的老年人的饲管
Feeding tubes for older people with advanced dementia living in the community in Israel.
作者信息
Bentur Netta, Sternberg Shelley, Shuldiner Jennifer, Dwolatzky Tzvi
机构信息
Aging Department, Myers-JDC-Brookdale Institute, Jerusalem, Israel
Division of Public Health, Maccabi Healthcare Services, Jerusalem, Israel Aging Department, Shaarei Zedek Medical Center Memory Clinic, Jerusalem, Israel.
出版信息
Am J Alzheimers Dis Other Demen. 2015 Mar;30(2):165-72. doi: 10.1177/1533317514539726. Epub 2014 Jun 24.
BACKGROUND
Feeding tubes to address eating problems of older people with advanced dementia (OPAD) has been studied primarily in nursing homes.
OBJECTIVES
To examine the prevalence of feeding tube use among OPAD living in the community; to evaluate the characteristics, quality of care, and the burden on caregivers.
METHODS
A cross-sectional survey of 117 caregivers of OPAD living in the community.
RESULTS
Of 117 patients, 26% had feeding tubes. Compared to nonusers, feeding tube users had more use of restraints, greater problems with swallowing, more emergency room visits, and were more likely to have a legal guardian. In addition, caregivers of feeding tube users were older and reported very heavy burden of care. Half of the caregivers reported that the medical team consulted them before insertion of the feeding tube.
CONCLUSION
Feeding tube use in OPAD in the community is associated with negative outcomes and increased caregiver burden.
背景
用于解决晚期痴呆老年人（OPAD）进食问题的饲管主要在养老院进行了研究。
目的
调查社区中晚期痴呆老年人使用饲管的患病率；评估其特征、护理质量及对照料者的负担。
方法
对117名社区中晚期痴呆老年人的照料者进行横断面调查。
结果
117名患者中，26%使用了饲管。与未使用者相比，使用饲管的患者更多地使用了约束措施，吞咽问题更多，急诊就诊次数更多，且更有可能有法定监护人。此外，使用饲管患者的照料者年龄更大，报告的照料负担非常重。一半的照料者报告称，医疗团队在插入饲管前咨询过他们。
结论
社区中晚期痴呆老年人使用饲管与不良后果及照料者负担增加有关。
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