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Collaboration and guidelines for the coordination of health care for frail older persons with intellectual disability: A national survey of nurses working in municipal care.合作与协调指导:为患有智力残疾的体弱老年人提供医疗保健,全国范围内对市政护理的护士进行调查。
Nurs Open. 2021 May;8(3):1369-1379. doi: 10.1002/nop2.753. Epub 2020 Dec 29.
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Multimorbidity Patterns and Unplanned Hospitalisation in a Cohort of Older Adults.老年人群队列中的多重疾病模式与非计划住院情况
J Clin Med. 2020 Dec 10;9(12):4001. doi: 10.3390/jcm9124001.
3
Frailty: implications for clinical practice and public health.虚弱:对临床实践和公共卫生的影响。
Lancet. 2019 Oct 12;394(10206):1365-1375. doi: 10.1016/S0140-6736(19)31786-6.
4
Ambivalence among staff regarding ageing with intellectual disabilities: Experiences and reflections.工作人员对智力残疾老龄化的矛盾心理:经验与反思。
J Intellect Disabil. 2021 Jun;25(2):192-209. doi: 10.1177/1744629519874997. Epub 2019 Sep 30.
5
Effect of deinstitutionalisation on quality of life for adults with intellectual disabilities: a systematic review.去机构化对智力残疾成年人生活质量的影响:系统评价。
BMJ Open. 2019 Apr 25;9(4):e025735. doi: 10.1136/bmjopen-2018-025735.
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Socio-demographic differences in the frequent use of emergency department care by older persons: a population-based study in Stockholm County.老年人频繁使用急诊科护理的社会人口学差异:一项基于斯德哥尔摩县人口的研究。
BMC Health Serv Res. 2019 Mar 29;19(1):202. doi: 10.1186/s12913-019-4029-x.
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Measuring population ageing: an analysis of the Global Burden of Disease Study 2017.衡量人口老龄化:对 2017 年全球疾病负担研究的分析。
Lancet Public Health. 2019 Mar;4(3):e159-e167. doi: 10.1016/S2468-2667(19)30019-2.
8
The association of life events and mental ill health in older adults with intellectual disability: results of the wave 3 Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing.老年人生活事件与心理健康的关系:爱尔兰老龄化纵向研究第三次智力残疾补充调查结果。
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Medication use and potentially inappropriate prescribing in older adults with intellectual disabilities: a neglected area of research.智障老年人的药物使用及潜在不适当处方:一个被忽视的研究领域。
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患有智力残疾的老年人与衰弱因素和社会护理之间的关系:一项瑞典全国登记研究。

Ageing people with intellectual disabilities and the association between frailty factors and social care: A Swedish national register study.

机构信息

Lund University, Sweden.

Karolinska Institutet (KI), Sweden; Municipality of Östersund, Sweden.

出版信息

J Intellect Disabil. 2022 Dec;26(4):900-918. doi: 10.1177/17446295211037170. Epub 2021 Nov 2.

DOI:10.1177/17446295211037170
PMID:34727746
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9607971/
Abstract

The aim of this study was to describe the social care provided for different age groups of people with intellectual disability, 55 years or above, and to investigate the association between such care and frailty factors for those with diagnosed level of intellectual disabilities. Descriptive and logistic regression analyses were used. Commonest forms of social care among the 7936 people were , and . and increased with age. The frailty factors significantly associated with increased social care were age, polypharmacy and severe levels of intellectual disabilities. Persons most likely to be in residential care were in the age group 65-79 with polypharmacy and severe disability. The results indicate a need for further research of how frailty factors are considered in social care and longstanding medication, especially then severe intellectual disability hinders communication. A national strategic plan for preventive interventions should be developed to ensure the best possible healthy ageing.

摘要

本研究旨在描述为 55 岁及以上不同年龄组的智力残疾人士提供的社会关怀,并调查这些关怀与已诊断智力残疾人士的虚弱因素之间的关联。采用描述性和逻辑回归分析。在 7936 人中,最常见的社会关怀形式是 、 、 。 和 随着年龄的增长而增加。与社会关怀增加显著相关的虚弱因素是年龄、多种药物治疗和严重程度的智力残疾。最有可能在养老院的人是年龄在 65-79 岁之间、服用多种药物且有严重残疾的人。研究结果表明,需要进一步研究如何在社会关怀和长期药物治疗中考虑虚弱因素,特别是在严重智力残疾阻碍沟通的情况下。应制定国家预防干预战略计划,以确保尽可能实现健康老龄化。