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农村老年人入住养老院的风险概况:心理老年医学指标的聚类分析

Risk profiles for nursing home placement of rural elderly: a cluster analysis of psychogeriatric indicators.

作者信息

Abraham I L, Currie L J, Neese J B, Yi E S, Thompson-Heisterman A A

机构信息

Center on Aging and Health, University of Virginia, Charlottesville 22901.

出版信息

Arch Psychiatr Nurs. 1994 Aug;8(4):262-71. doi: 10.1016/0883-9417(94)90068-x.

DOI:10.1016/0883-9417(94)90068-x
PMID:7979559
Abstract

In an effort to better understand the clinical and functional status of patients served by our Rural Elder Outreach Program, more effectively identify risk groups, and more efficiently target services, we performed a cluster analysis on 92 older adults served by our program. The first cluster included patients with very poor health, mild cognitive impairment, very high care demands, and migrating toward active risk for institutionalization. The second cluster included patients with poor physical but good mental health, intact cognition, high care demands, and at passive risk. The third cluster comprised patients with high functional, physical, and cognitive impairment, intensive care demands, moderate mental health problems, poor insight into their situation, and at active risk for institutionalization.

摘要

为了更好地了解我们的农村老年人外展项目所服务患者的临床和功能状况,更有效地识别风险群体,并更高效地确定服务目标,我们对该项目所服务的92名老年人进行了聚类分析。第一组包括健康状况极差、有轻度认知障碍、护理需求非常高且有向机构化主动风险转变趋势的患者。第二组包括身体状况差但心理健康良好、认知功能正常、护理需求高且处于被动风险的患者。第三组包括功能、身体和认知功能严重受损、护理需求强烈、存在中度心理健康问题、对自身状况认知不足且有机构化主动风险的患者。

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Arch Psychiatr Nurs. 1994 Aug;8(4):262-71. doi: 10.1016/0883-9417(94)90068-x.
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