1 University of Missouri, Columbia, USA.
2 The University of North Carolina at Chapel Hill, USA.
J Aging Health. 2019 Jul;31(6):903-924. doi: 10.1177/0898264317740047. Epub 2017 Nov 6.
This study aimed to identify predictors of 6-month physical function and 12-month relocation or death in 272 residents of 34 residential care/assisted communities. Measures collected at baseline, 6, and 12 months included health and demographic characteristics; self-reported pain, fatigue, and depressive symptoms; exercise self-efficacy, barriers, and expectations; attitudes on aging; performance-based physical function and physical activity; and community demographics, programs, and policies. GLIMMIX procedures for regression analyses with community as a random effect were run. Better baseline physical function and grip strength, female sex, and residential care community predicted better 6-month physical function. At 12 months, 25.6% had relocated or died. The odds of 12-month relocation or death for 1-point increase in physical function score was 0.84 and for 1-point increase in depression score was 1.16. Targets to promote longer tenure in residential care/assisted living include programs to ameliorate functional decline and depression screening and treatment.
本研究旨在确定 34 个住宅护理/辅助社区的 272 名居民在 6 个月时的身体功能和 12 个月时的搬迁或死亡的预测因素。基线、6 个月和 12 个月采集的测量指标包括健康和人口统计学特征；自我报告的疼痛、疲劳和抑郁症状；锻炼自我效能、障碍和期望；对衰老的态度；基于表现的身体功能和身体活动；以及社区人口统计学、计划和政策。使用 GLIMMIX 程序进行社区为随机效应的回归分析。更好的基线身体功能和握力、女性和住宅护理社区预测了更好的 6 个月的身体功能。在 12 个月时，有 25.6%的人已经搬迁或死亡。身体功能评分每增加 1 分，12 个月时搬迁或死亡的几率为 0.84，抑郁评分每增加 1 分，几率为 1.16。促进住宅护理/辅助生活更长任期的目标包括改善功能下降和抑郁筛查和治疗的项目。
