a The Senior Source , Dallas , TX , USA.
b School of Social Work , The University of Texas at Arlington , Arlington , TX , USA.
J Elder Abuse Negl. 2019 Mar;31(3):209-224. doi: 10.1080/08946566.2019.1590275. Epub 2019 Mar 21.
Long-term care ombudsmen are advocates who empower and assist residents with complaints relating to quality of care and violations of resident rights in assisted living (AL) and skilled nursing facilities (SNF). Given that long-term care residents are vulnerable to elder abuse, neglect and exploitation (ANE), and existing gaps in the literature addressing ANE in AL, more research is needed to understand the prevalence of ANE in these communities. Ombudsman complaint data (n = 140,497 complaints) in 3,171 Texas long-term care facilities were analyzed using proportion Z tests. Findings showed that SNF had higher rates of ANE per resident. For both AL and SNF, verbal/psychological abuse was the most reported type of ANE and sexual abuse was the least reported. AL residents had disproportionately high rates of financial exploitation. We explored factors that may contribute to these findings and recommend strategies for preventing ANE.
长期护理监察员是倡导者，他们赋权并协助居民对辅助生活（AL）和熟练护理设施（SNF）中的护理质量投诉和居民权利侵犯提出投诉。鉴于长期护理居民容易受到虐待、忽视和剥削（ANE）的影响，以及文献中对 AL 中 ANE 的现有差距，需要更多的研究来了解这些社区中 ANE 的流行程度。使用比例 Z 检验对 3171 家德克萨斯州长期护理机构的 140497 份监察员投诉数据进行了分析。研究结果表明，SNF 的每居民 ANE 发生率较高。对于 AL 和 SNF，言语/心理虐待是报告最多的 ANE 类型，性虐待是报告最少的类型。AL 居民的财务剥削率过高。我们探讨了可能导致这些发现的因素，并为预防 ANE 提出了策略。
