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长期护理中社会隔离居民的特征:一项回顾性队列研究。

Characteristics of Socially Isolated Residents in Long-Term Care: A Retrospective Cohort Study.

作者信息

Chamberlain Stephanie A, Duggleby Wendy, Teaster Pamela B, Estabrooks Carole A

机构信息

University of Alberta, Edmonton, Canada.

Virginia Polytechnic Institute and State University, Blacksburg, USA.

出版信息

Gerontol Geriatr Med. 2020 Nov 22;6:2333721420975321. doi: 10.1177/2333721420975321. eCollection 2020 Jan-Dec.

Abstract

To identify socially isolated long-term care residents and to compare their demographic characteristics, functional status, and health conditions to residents who are not isolated. : We conducted a retrospective cohort study using the Resident Assessment Instrument, Minimum Data Set, 2.0 (RAI-MDS) data, from residents in 34 long-term care homes in Alberta, Canada (2008-2018). Using logistic regression, we compared the characteristics, conditions, and functional status of residents who were socially isolated (no contact with family/friends) and non-socially isolated residents. : Socially isolated residents were male, younger, and had a longer length of stay in the home, than non-socially isolated residents. Socially isolated residents lacked social engagement and exhibited signs of depression. Socially isolated residents had unique care concerns, including psychiatric disorders, and co-morbid conditions. Our approach, using a single item in an existing data source, has the potential to assist clinicians in screening for socially isolated long-term care residents.

摘要

识别社交孤立的长期护理居民,并将他们的人口统计学特征、功能状态和健康状况与非孤立居民进行比较。:我们使用加拿大艾伯塔省34所长期护理机构居民的居民评估工具、最低数据集2.0(RAI-MDS)数据(2008 - 2018年)进行了一项回顾性队列研究。我们使用逻辑回归比较了社交孤立(与家人/朋友无接触)居民和非社交孤立居民的特征、状况和功能状态。:社交孤立的居民比非社交孤立的居民更年轻,男性居多,且在家居住时间更长。社交孤立的居民缺乏社交参与,并表现出抑郁迹象。社交孤立的居民有独特的护理问题,包括精神障碍和共病情况。我们利用现有数据源中的单个项目的方法有可能帮助临床医生筛查社交孤立的长期护理居民。

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