美国患有阿尔茨海默病及相关痴呆症的疗养院居民的群体活动参与情况与情境隔离的关系
Group Activity Participation in Relation to Contextual Isolation of United States Nursing Home Residents Living with Alzheimer's Disease and Related Dementias.
作者信息
Jesdale Bill M, Bova Carol A, Mbrah Attah K, Lapane Kate L
机构信息
Division of Epidemiology, Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01605, USA.
Graduate School of Nursing, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01605, USA.
出版信息
J Nurs Home Res Sci. 2021;7:38-46. doi: 10.14283/jnhrs.2021.7.
BACKGROUND
Residents of nursing homes frequently report loneliness and isolation, despite being in an environment shared with other residents and staff.
OBJECTIVE
To describe, among long-stay US nursing home residents living with Alzheimer's disease and/or related dementias (ADRD), group activity participation in relation to contextual isolation: living in a nursing home where fewer than 20% of residents share socially salient characteristic(s).
DESIGN
A cross-sectional evaluation of group activity participation in relation to contextual isolation across 20 characteristics based on demographic characteristics, habits and interests, and clinical and care dimensions.
SETTING
US nursing homes.
PARTICIPANTS
We included 335,421 residents with ADRD aged ≥50 years with a Minimum Data Set 3.0 annual assessment in 2016 reporting their preference for group activity participation, and 94,735 with participation observed by staff.
MEASUREMENTS
We identified 827,823 annual (any anniversary) assessments performed on nursing home residents in 2016, selecting one at random for each resident, after prioritizing the assessment with the least missing data (n=795,038). MDS 3.0 item F0500e assesses resident interest in group activities.
RESULTS
When considering all potential sources of contextual isolation considered, 30.7% were contextually isolated on the basis of a single characteristic and 13.7% were contextually isolated on the basis of two or more characteristics. Among residents reporting importance of group activity, 81% of those not contextually isolated reported that group activity participation was important, as did 78% of those isolated on one characteristic, and 75% of those isolated on multiple characteristics. Among residents with staff-observed group activity participation, 64% of those not contextually isolated reported were observed participating in group activities, as were 59% of those isolated on one characteristic, and 52% of those isolated on multiple characteristics.
CONCLUSION
Residents with ADRD facing contextual isolation placed less importance on group activity than residents who were not contextually isolated.
背景
疗养院的居民经常报告感到孤独和孤立，尽管他们身处与其他居民和工作人员共处的环境中。
目的
描述在美国长期居住的患有阿尔茨海默病和/或相关痴呆症（ADRD）的疗养院居民中，群体活动参与情况与情境隔离的关系：居住在居民中少于20%具有社会显著特征的疗养院。
设计
基于人口统计学特征、习惯和兴趣以及临床和护理维度，对群体活动参与情况与20种特征的情境隔离进行横断面评估。
地点
美国疗养院。
参与者
我们纳入了335421名年龄≥50岁的患有ADRD的居民，他们在2016年进行了最低数据集3.0年度评估，报告了他们对群体活动参与的偏好，以及94735名有工作人员观察到其参与情况的居民。
测量
我们确定了2016年对疗养院居民进行的827823次年度（任何周年）评估，在优先选择缺失数据最少的评估后（n = 795038），为每位居民随机选择一次。最低数据集3.0项目F0500e评估居民对群体活动的兴趣。
结果
在考虑所有潜在的情境隔离来源时，30.7%的人基于单一特征处于情境隔离状态，13.7%的人基于两个或更多特征处于情境隔离状态。在报告群体活动重要性的居民中，81%未处于情境隔离的人表示群体活动参与很重要，78%基于单一特征隔离的人以及75%基于多个特征隔离的人也这样认为。在有工作人员观察到群体活动参与情况的居民中，64%未处于情境隔离的人被观察到参与了群体活动，59%基于单一特征隔离的人以及52%基于多个特征隔离的人也是如此。
结论
面临情境隔离的ADRD居民对群体活动的重视程度低于未处于情境隔离的居民。
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