长期护理需求的老年人基本日常生活活动变化的原因。
Causes of changes in basic activities of daily living in older adults with long-term care needs.
机构信息
Faculty of Medicine, School of Health Science, Shinshu University, Nagano, Japan.
Kagoshima University, Kagoshima, Japan.
出版信息
Australas J Ageing. 2021 Mar;40(1):e54-e61. doi: 10.1111/ajag.12848. Epub 2020 Sep 9.
OBJECTIVE
To elucidate basic activities of daily living (BADL) changes, and the causes, in older adults with long-term care needs.
METHODS
This retrospective study utilised long-term care insurance (LTCI) certification survey data from 2010 to 2017 in City A.
RESULTS
In decreasing likelihood of requiring assistance, BADL items were grooming, bathing, getting dressed/undressed, mobility, toilet hygiene, functional mobility and self-feeding. Cox proportional hazard regression indicated that age correlated with need for assistance for all BADL items. Male sex corresponded to needing assistance with BADL items other than grooming and functional mobility. Shared living corresponded to needing assistance with BADL items other than grooming and bathing. Visual acuity corresponded to needing assistance with grooming.
CONCLUSION
The most significant result was using survival curves to visualise the changes in BADL items of older adults with LTCI. These findings could help develop rehabilitation programs to prevent the need for BADL assistance in older adults.
目的
阐明有长期护理需求的老年人日常生活基本活动（BADL）的变化及其原因。
方法
本回顾性研究利用了城市 A 地区 2010 年至 2017 年长期护理保险（LTCI）认证调查数据。
结果
在BADL 项目中，需要协助的可能性依次降低，分别是：修饰、沐浴、穿衣/脱衣、移动、厕所卫生、功能移动和自我进食。Cox 比例风险回归表明，所有 BADL 项目的年龄都与需要协助相关。男性性别与除修饰和功能移动外的其他 BADL 项目需要协助有关。共同生活与除修饰和沐浴外的其他 BADL 项目需要协助有关。视力与修饰需要协助有关。
结论
最显著的结果是使用生存曲线来直观地展示 LTCI 老年人 BADL 项目的变化。这些发现有助于制定康复计划，以防止老年人需要 BADL 协助。
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