居住在澳大利亚私人养老院中患有痴呆症和抑郁症状的居民的人口统计学和临床特征：来自音乐干预老年痴呆症和抑郁（MIDDEL）集群随机对照试验的数据。
Demographic and clinical profile of residents living with dementia and depressive symptoms in Australian private residential aged care: Data from the Music Interventions for Dementia and Depression in ELderly care (MIDDEL) cluster-randomised controlled trial.
机构信息
Creative Arts and Music Therapy Research Unit, Faculty of Fine Arts and Music, The University of Melbourne, Melbourne, Victoria, Australia.
Psychology and Specialist Services, Monash Health, Melbourne, Victoria, Australia.
出版信息
Australas J Ageing. 2022 Dec;41(4):e387-e396. doi: 10.1111/ajag.13104. Epub 2022 Jul 8.
OBJECTIVES
- To describe the demographic and clinical characteristics of residents with dementia and depressive symptoms in the Australian private residential aged care (RAC) context; and 2) to investigate the association between neuropsychiatric symptoms, depression and quality of life and their interactions with dementia severity.
METHODS
This study examined the baseline demographic and clinical data from the Australian arm of the Music Interventions for Dementia and Depression in ELderly care (MIDDEL) study, a multinational, cluster-randomised controlled trial. Demographic characteristics, neuropsychiatric symptoms, depression, quality of life and dementia severity were collected in 330 residents of 12 private RAC facilities across Melbourne, Australia. Descriptive statistics, the Kruskal-Wallis test and the Pearson Χ test were used to describe and compare the demographic and clinical characteristics according to dementia severity. The association between clinical characteristics and dementia severity was examined using linear regression analyses.
RESULTS
Residents' mean age was 86.5 years, 69% were female, and 44.2% had severe dementia. There were no significant differences between the dementia severity groups on age, sex and education. Residents with severe dementia were more likely to have a diagnosis of Alzheimer's disease (40.3%) and be born overseas (46.8%). Higher levels of neuropsychiatric symptoms, distress and depressive symptoms, and lower quality of life were associated with more severe dementia.
CONCLUSIONS
The findings from our study highlight the diverse and complex care needs of people living with dementia in the Australian private RAC setting, which can be used to inform targeted, person-centred dementia care planning, staff training and allocation of resources.
目的
1）描述澳大利亚私人养老院（RAC）中患有痴呆症和抑郁症状的居民的人口统计学和临床特征；2）探讨神经精神症状、抑郁和生活质量与痴呆严重程度之间的关系及其相互作用。
方法
本研究分析了澳大利亚参与音乐干预老年痴呆和抑郁（MIDDEL）研究的基线人口统计学和临床数据，该研究是一项多中心、集群随机对照试验。在澳大利亚墨尔本的 12 家私人养老院共收集了 330 名居民的人口统计学特征、神经精神症状、抑郁、生活质量和痴呆严重程度数据。采用描述性统计、Kruskal-Wallis 检验和 Pearson Χ 检验根据痴呆严重程度描述和比较人口统计学和临床特征。采用线性回归分析检查临床特征与痴呆严重程度之间的关系。
结果
居民的平均年龄为 86.5 岁，69%为女性，44.2%患有严重痴呆症。在年龄、性别和教育程度方面，痴呆严重程度组之间没有显著差异。患有严重痴呆症的居民更有可能被诊断为阿尔茨海默病（40.3%）和出生在海外（46.8%）。更高水平的神经精神症状、痛苦和抑郁症状，以及更低的生活质量与更严重的痴呆症有关。
结论
我们的研究结果强调了澳大利亚私人 RAC 环境中患有痴呆症的居民的多样化和复杂的护理需求，这些需求可用于为有针对性的、以患者为中心的痴呆症护理计划、员工培训和资源分配提供信息。
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