老年痴呆症患者身体恢复力与出院后不良事件之间的关联。
The association of physical resilience and post-discharge adverse events among older adults with dementia.
作者信息
Drazich Brittany F, Gurlu Merve, Kuzmik Ashley, Galik Elizabeth, Wells Chris L, Boltz Marie, Resnick Barbara
机构信息
School of Nursing, University of Maryland Baltimore, Baltimore, MD, USA.
School of Nursing, Penn State University, University Park, PA, USA.
出版信息
Aging Ment Health. 2025 Jun;29(6):973-979. doi: 10.1080/13607863.2024.2423889. Epub 2024 Nov 7.
OBJECTIVES
Post-discharge adverse events, such as falls, hospitalizations, and death, are more prevalent among older adults with dementia, compared to their cognitively intact counterparts. This study aimed to test the association between physical resilience and post discharge adverse events in a sample of older adults with dementia.
METHOD
Through phone calls with caregivers over one year, we obtained data on physical resilience and post-discharge adverse events through caregiver report among a sample of 314 recently discharged older adults with dementia. We performed negative binomial regression (falls and hospitalizations) and logistic regression (death), controlling for covariates.
RESULTS
Greater physical resilience at one month post discharge was significantly associated with less falls, hospitalizations, and death within one year.
CONCLUSION
This study highlights a particular patient profile, recently discharged older adults living with dementia who have low physical resilience, that could be targeted for intervention when discharged from the hospital.
目的
与认知功能正常的老年人相比，痴呆症老年患者出院后的不良事件，如跌倒、住院和死亡更为普遍。本研究旨在测试痴呆症老年患者样本中身体恢复力与出院后不良事件之间的关联。
方法
通过与照顾者进行为期一年的电话沟通，我们通过照顾者报告获得了314名近期出院的痴呆症老年患者样本的身体恢复力和出院后不良事件的数据。我们进行了负二项回归（跌倒和住院）和逻辑回归（死亡），并对协变量进行了控制。
结果
出院后一个月时身体恢复力更强与一年内跌倒、住院和死亡次数减少显著相关。
结论
本研究突出了一类特定的患者群体，即近期出院且身体恢复力较低的痴呆症老年患者，他们在出院时可作为干预目标。
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