患有长期疾病的老年人参加由付费员工或志愿者提供的日托服务的结果：一项比较研究。
Outcomes for older people with long-term conditions attending day care services delivered by paid staff or volunteers: a comparative study.
作者信息
Lunt Catherine, Shiels Chris, Dowrick Christopher, Lloyd-Williams Mari
机构信息
Academic Palliative and Supportive Care Studies Group and Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.
Statistician, University of Liverpool, Liverpool, UK.
出版信息
Palliat Care Soc Pract. 2021 Jul 9;15:26323524211030283. doi: 10.1177/26323524211030283. eCollection 2021.
BACKGROUND
Day care services support older people living with long-term conditions (LTC's).
AIMS
The aims of the study were to determine outcomes in terms of loneliness and health-related quality of life for older people with LTCs attending day care services in the United Kingdom.
METHODS
Newly referred older people with LTCs to day care services in North West of England and Wales were invited to participate. The EQ-5D-3L and De Jong Loneliness questionnaires were completed at recruitment, 6 and 12 weeks.
RESULTS
Ninty-four older people (64% female), age range 65-99 years; mean number of LTCs 4.3 (range: 2-9) were recruited. About 52% lived alone and 36% lived in one of the 20% most deprived local authorities in England and Wales. Outcomes over 12 weeks were comparable for paid, blended, and for volunteer-led services.
CONCLUSION
Following the Covid-19 pandemic, it is increasingly urgent to support older people with LTCs who may have lost physical and cognitive function during lockdown and to support their recovery. Our study suggests that volunteers can provide services and complement the care provided by paid staff, freeing up resources and enabling increasing numbers of older people to be supported.
背景
日托服务为患有长期疾病（LTC）的老年人提供支持。
目的
本研究的目的是确定在英国参加日托服务的患有长期疾病的老年人在孤独感和健康相关生活质量方面的结果。
方法
邀请新转介到英格兰西北部和威尔士日托服务机构的患有长期疾病的老年人参与。在招募时、第6周和第12周完成EQ-5D-3L和德容孤独感问卷。
结果
招募了94名老年人（64%为女性），年龄在65至99岁之间；平均长期疾病数量为4.3（范围：2至9种）。约52%的人独居，36%的人生活在英格兰和威尔士20%最贫困的地方当局之一。付费服务、混合服务和志愿者主导服务在12周内的结果相当。
结论
在新冠疫情之后，支持那些在封锁期间可能失去身体和认知功能的患有长期疾病的老年人并帮助他们康复变得越来越紧迫。我们的研究表明，志愿者可以提供服务并补充付费工作人员提供的护理，释放资源并使越来越多的老年人得到支持。
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