Department of Rehabilitation, Hikari Hospital, Shiga, Japan.
Department of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto, Japan.
Eur Geriatr Med. 2022 Aug;13(4):951-957. doi: 10.1007/s41999-022-00621-9. Epub 2022 Feb 26.
Day-care services contribute to maintaining the daily living ability of older people cared for at home. This study aimed to detect factors that could impede the continuation of day-care services.
We collected clinical data of 132 older users (age = 82.8 ± 7.5 years; male:female = 49:83) utilizing our day-care center from April 2019 to March 2020. We evaluated age, sex, underlying disease, medication, family background, care level, food texture, physical ability, reasons for frequenting day-care centers, and combined medical/nursing care plans. Participants were divided into two groups: continuation (n = 51) and suspension (n = 81). The collected items were evaluated statistically using the chi-square test, Mann-Whitney test, and unpaired t test. Multivariate logistic analysis (forward-backward stepwise selection method) was added to the statistically significant items. Statistical significance was defined as p < 0.05.
The comparison test detected statistical significance in Parkinson disease/Parkinsonism, pain complaints, day-service use, short-stay service use, day-care center use to reduce care burden, physical ability including ambulation, and availability of the major caregiver (p < 0.05). Day-care service use to reduce care burden (odds ratio 5.646, p < 0.05), use of short-stay and day-care services (odds ratio 4.798, p < 0.05), and low independent ambulation (odds ratio 0.585, p < 0.05) were the likely factors for suspended use (percentage of correct classification = 68.5%).
An unreplaceable and effective program for day-service and short-stay services to improve the activities of daily living of older users and reduce care burden is required in day-care centers.
日托服务有助于维持在家中接受护理的老年人的日常生活能力。本研究旨在发现可能阻碍日托服务继续进行的因素。
我们收集了 2019 年 4 月至 2020 年 3 月期间在我们的日托中心使用的 132 名老年人（年龄=82.8±7.5 岁；男：女=49:83）的临床数据。我们评估了年龄、性别、基础疾病、用药、家庭背景、护理水平、食物质地、身体能力、经常光顾日托中心的原因以及联合医疗/护理计划。参与者分为两组：继续（n=51）和暂停（n=81）。使用卡方检验、Mann-Whitney 检验和独立样本 t 检验对收集到的项目进行统计学评估。将有统计学意义的项目添加到多变量逻辑分析（前进-后退逐步选择法）中。统计显著性定义为 p<0.05。
比较测试在帕金森病/帕金森症、疼痛投诉、日间服务使用、短期服务使用、使用日托中心减轻护理负担、包括步行在内的身体能力以及主要照顾者的可用性方面发现了统计学意义（p<0.05）。使用日托中心减轻护理负担（优势比 5.646，p<0.05）、使用短期和日托服务（优势比 4.798，p<0.05）以及独立步行能力低（优势比 0.585，p<0.05）是暂停使用的可能因素（正确分类百分比=68.5%）。
日托中心需要提供不可替代且有效的日间服务和短期服务计划，以提高老年人的日常生活活动能力并减轻护理负担。
