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导致社区居住的老年患者住院后恢复社区活动能力的因素。

Factors That Contribute to Recovery of Community Mobility After Hospitalization Among Community-Dwelling Older Adults.

机构信息

Palmetto Health, Columbia, SC, USA.

The University of Alabama at Birmingham, USA.

出版信息

J Appl Gerontol. 2020 Apr;39(4):435-441. doi: 10.1177/0733464818770788. Epub 2018 Apr 24.

Abstract

This study aimed to determine the proportion of older adults who recovered community mobility after hospitalization and identify factors associated with recovery. Using a random sample of 1,000 Medicare beneficiaries ≥65 years of age, we identified individuals with at least one hospitalization over 8.5 years of follow-up. Data were collected at baseline and every 6 months, including demographics, function, social support, community mobility measured by the UAB Life-Space Assessment (LSA), and overnight hospital admissions. Recovery was defined as a LSA score no more than five points lower than the prehospitalization LSA score at last follow-up. Overall, 339 participants ( age = 75.4 [ = 6.6] years, 44% African American, 48% female) had at least one hospitalization. In the full logistic regression model, younger age ( = .007) and religious service attendance ( = .001) remained independently associated with recovery. An understanding of factors associated with recovery after hospitalization may provide a target for future interventions.

摘要

本研究旨在确定住院后恢复社区活动能力的老年人比例,并确定与恢复相关的因素。我们使用随机抽取的 1000 名 Medicare 受益人的≥65 岁的样本,确定了在 8.5 年以上的随访中至少有一次住院的个体。基线和每 6 个月收集数据,包括人口统计学、功能、社会支持、UAB 生活空间评估(LSA)测量的社区活动能力以及夜间住院。恢复定义为最后一次随访时的 LSA 评分比住院前的 LSA 评分低不超过五分。共有 339 名参与者(年龄 = 75.4 [=6.6] 岁,44%为非裔美国人,48%为女性)至少有一次住院。在全逻辑回归模型中,年龄较小( =.007)和参加宗教服务( =.001)与恢复独立相关。了解住院后恢复的相关因素可能为未来的干预提供目标。

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