Boucaud-Maitre Denis, Villeneuve Roxane, Rambhojan Christine, Simo-Tabué Nadine, Thibault Nathalie, Rinaldo Leila, Dartigues Jean-François, Dramé Moustapha, Amieva Hélène, Tabué-Teguo Maturin
DRCI, Centre Hospitalier Le Vinatier, Bron, France.
Equipe EPICLIV, Université des Antilles, Fort-de-France, Martinique, France.
Innov Aging. 2024 Jun 28;8(7):igae063. doi: 10.1093/geroni/igae063. eCollection 2024.
Foster families for older adults could represent a transitional or alternative model to nursing homes. The aim of this study was to describe the clinical characteristics of older adults in foster families and to compare them with those of residents in nursing homes in French West Indies.
This study is a cross-sectional analysis of the KArukera Study of Aging in Foster Families (KASAF) cohort. Sociodemographic and clinical characteristics were extracted. Dependency was assessed using the Activities of Daily Living (ADL) scale and cognition using the Mini-Mental State Examination (MMSE) scale. Age, gender, ADL, and MMSE scores were compared with nursing home residents from a twin study of KASAF ( = 332).
A total of 107 older adults (mean age 81.8 years; 61.7% women) were recruited in 56 foster families between September 2020 and May 2021. In all, 25.5% had diabetes mellitus and 45.8% suffered from hypertension. The mean MMSE score was 9.3 ± 10.1 and 76.0% had major cognitive impairment (MMSE score <18); 12.5% were diagnosed with Parkinson's disease, and 42.0% of the residents were confined to bed or in a wheelchair, with a mean ADL score of 1.5 ± 1.8. Almost all the residents (96.3%) benefited from a medical follow-up by a nurse who visited once or twice a day. Compared to older adults living in nursing homes, those in foster families were more frequently women (61.7% vs 49.4%) and had lower ADL score (1.5 vs 2.4) and lower MMSE score (9.3 vs 11.3).
The clinical profile of foster families' residents was quite similar to that of nursing home residents in terms of demographics, dementia, and dependency. Foster families might represent an interesting strategy to address the unmet clinical and social needs of dependent older adults, especially in countries where nursing homes are not sufficiently developed.
NCT04545775.
为老年人提供寄养家庭可能是一种替代养老院的过渡模式。本研究旨在描述寄养家庭中老年人的临床特征，并将其与法属西印度群岛养老院中的居民进行比较。
本研究是对寄养家庭老年人卡鲁克拉衰老研究（KASAF）队列的横断面分析。提取了社会人口学和临床特征。使用日常生活活动（ADL）量表评估依赖性，使用简易精神状态检查表（MMSE）量表评估认知能力。将年龄、性别、ADL和MMSE评分与来自KASAF双生子研究的养老院居民（n = 332）进行比较。
2020年9月至2021年5月期间，共招募了107名老年人（平均年龄81.8岁；61.7%为女性），安置在56个寄养家庭中。总体而言，25.5%患有糖尿病，45.8%患有高血压。MMSE平均评分为9.3±10.1，76.0%有重度认知障碍（MMSE评分<18）；12.5%被诊断患有帕金森病，42.0%的居民卧床或使用轮椅，ADL平均评分为1.5±1.8。几乎所有居民（96.3%）都受益于护士每天一次或两次的医疗随访。与住在养老院的老年人相比，寄养家庭中的老年人女性比例更高（61.7%对49.4%），ADL评分更低（1.5对2.4），MMSE评分更低（9.3对11.3）。
寄养家庭居民的临床特征在人口统计学、痴呆症和依赖性方面与养老院居民非常相似。寄养家庭可能是满足依赖型老年人未得到满足的临床和社会需求的一种有趣策略，尤其是在养老院发展不足的国家中。
NCT04545775。
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