JAMDA:影响养老院老人判断力的因素研究

2015-07-10 MedSci译 MedSci原创

目的:养老院的许多老年人都存在认知功能障碍,这会影响他们做出选择和制定决策。为了发现不完善决策制定的潜在根源,我们基于养老院老人的数量,探究影响养老院老人判断力的几大因素。方式:参与人员为2004年全国护理之家调查中的13013名居民。我们使用逻辑回归分析来确定居民的特点(IE,性别,年龄,种族,情绪,近期有无疼痛,有无跌倒和骨折,有无住院,住院天数,日常生活活动数量及强度(ADL),是否需要帮助

目的:
养老院的许多老年人都存在认知功能障碍,这会影响他们做出选择和制定决策。为了发现不完善决策制定的潜在根源,我们基于养老院老人的数量,探究影响养老院老人判断力的几大因素。


方式:
参与人员为2004年全国护理之家调查中的13013名居民。我们使用逻辑回归分析来确定居民的特点(IE,性别,年龄,种族,情绪,近期有无疼痛,有无跌倒和骨折,有无住院,住院天数,日常生活活动数量及强度(ADL),是否需要帮助,是否诊断为老年痴呆症,是否有焦虑症和抑郁症)和判断力是否受损及完好。

结果:
通过控制抑郁和焦虑诊断,性别,年龄,种族和近期有无住院或疼痛这些变量,我们发现,判断力受损的老人特点包括:情绪沮丧,悲伤或焦虑[“轻度”优势比(OR)为 1.39,95%置信区间(CI)为 1.23–1.58;“重度”优势比为 2.69,95% CI 为2.27–3.20);诊断为老年痴呆症或生活在精神病院(OR = 5.07,95% CI = 4.52–5.67);ADL评估后需要援助(5 ADL,OR = 10.69,95% CI = 6.82–16.75);在养老院居住时间的长短(若居住时间为101–365天,OR为1.60,95% CI = 1.36–1.89;若居住时间范围为366天-2年,OR = 1.60,95% CI = 1.34–1.90;若居住时间长于2年,则OR = 2.25,95% CI = 1.92–2.63);在过去的6个月曾有骨折或跌倒(OR = 1.19,95%CI = 1.07–1.32)。居民报告的疼痛在上星期是不太可能有损害的决策(或= 0.58,95%可信区间= 0.52 - 0.66)。若上周居民存在躯体疼痛,则不大可能会影响居民的判断力(OR = 0.58, 95% CI = 0.52–0.66).

结论:
通过实验,我们发现影响养老院居民决策制定及判断力的几个因素:沮丧,悲伤和焦虑的情绪(不同于抑郁症或焦虑症的诊断);痴呆;和受限的日常生活能力。其中的一些因素,尤其是情绪,是可以得以改善的。我们应从这几个影响因素下手,对之进行改善和解决,以帮助老人判断力的恢复,使其能正确制定决策。

原始出处:
Fain KM, Rosenberg PB, Pirard S, Bogunovic O, Spira AP.Markers of Impaired Decision Making in Nursing Home Residents: Assessment by Nursing Home Staff in a Population-Based Study. J Am Med Dir Assoc. 2015 Jul 1;16(7):563-7.

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  1. [GetPortalCommentsPageByObjectIdResponse(id=201851, encodeId=1c1c2018514f, content=学习了,谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Wed May 24 06:22:30 CST 2017, time=2017-05-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1943529, encodeId=1e7e19435290d, content=<a href='/topic/show?id=daad11404a3' target=_blank style='color:#2F92EE;'>#MDA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11404, encryptionId=daad11404a3, topicName=MDA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e34303, createdName=wetgdt, createdTime=Wed May 25 14:25:00 CST 2016, time=2016-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=33398, encodeId=b73033398bc, content=有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0f31631005, createdName=保守主义, createdTime=Fri Jul 24 07:12:00 CST 2015, time=2015-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=32433, encodeId=0d0d32433ef, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Sun Jul 12 16:31:00 CST 2015, time=2015-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=32406, encodeId=991132406ce, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhRUzmFEmHvdIaOns4DmF3BicVffXjkOjBTiaMUIA4o7feGvE5IJ0SfSco4ib955Rx7bvWlib7j9V15xp/0, createdBy=814d1631326, createdName=cmn, createdTime=Sun Jul 12 12:31:00 CST 2015, time=2015-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1315988, encodeId=3bbe13159880e, content=<a href='/topic/show?id=fa2e24053f' target=_blank style='color:#2F92EE;'>#AMD#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2405, encryptionId=fa2e24053f, topicName=AMD)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ec53439, createdName=zhty5337, createdTime=Sun Jul 12 08:25:00 CST 2015, time=2015-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1455504, encodeId=34df1455504c0, content=<a href='/topic/show?id=1e35302e085' target=_blank style='color:#2F92EE;'>#养老院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30270, encryptionId=1e35302e085, topicName=养老院)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f2715667301, createdName=tulenzi, createdTime=Sun Jul 12 08:25:00 CST 2015, time=2015-07-12, status=1, ipAttribution=)]
    2017-05-24 1e145228m78(暂无匿称)

    学习了,谢谢作者分享!

    0

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    2016-05-25 wetgdt
  3. [GetPortalCommentsPageByObjectIdResponse(id=201851, encodeId=1c1c2018514f, content=学习了,谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Wed May 24 06:22:30 CST 2017, time=2017-05-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1943529, encodeId=1e7e19435290d, content=<a href='/topic/show?id=daad11404a3' target=_blank style='color:#2F92EE;'>#MDA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11404, encryptionId=daad11404a3, topicName=MDA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e34303, createdName=wetgdt, createdTime=Wed May 25 14:25:00 CST 2016, time=2016-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=33398, encodeId=b73033398bc, content=有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0f31631005, createdName=保守主义, createdTime=Fri Jul 24 07:12:00 CST 2015, time=2015-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=32433, encodeId=0d0d32433ef, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Sun Jul 12 16:31:00 CST 2015, time=2015-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=32406, encodeId=991132406ce, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhRUzmFEmHvdIaOns4DmF3BicVffXjkOjBTiaMUIA4o7feGvE5IJ0SfSco4ib955Rx7bvWlib7j9V15xp/0, createdBy=814d1631326, createdName=cmn, createdTime=Sun Jul 12 12:31:00 CST 2015, time=2015-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1315988, encodeId=3bbe13159880e, content=<a href='/topic/show?id=fa2e24053f' target=_blank style='color:#2F92EE;'>#AMD#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2405, encryptionId=fa2e24053f, topicName=AMD)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ec53439, createdName=zhty5337, createdTime=Sun Jul 12 08:25:00 CST 2015, time=2015-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1455504, encodeId=34df1455504c0, content=<a href='/topic/show?id=1e35302e085' target=_blank style='color:#2F92EE;'>#养老院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30270, encryptionId=1e35302e085, topicName=养老院)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f2715667301, createdName=tulenzi, createdTime=Sun Jul 12 08:25:00 CST 2015, time=2015-07-12, status=1, ipAttribution=)]
    2015-07-24 保守主义

    有意思

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=201851, encodeId=1c1c2018514f, content=学习了,谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Wed May 24 06:22:30 CST 2017, time=2017-05-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1943529, encodeId=1e7e19435290d, content=<a href='/topic/show?id=daad11404a3' target=_blank style='color:#2F92EE;'>#MDA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11404, encryptionId=daad11404a3, topicName=MDA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e34303, createdName=wetgdt, createdTime=Wed May 25 14:25:00 CST 2016, time=2016-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=33398, encodeId=b73033398bc, content=有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0f31631005, createdName=保守主义, createdTime=Fri Jul 24 07:12:00 CST 2015, time=2015-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=32433, encodeId=0d0d32433ef, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Sun Jul 12 16:31:00 CST 2015, time=2015-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=32406, encodeId=991132406ce, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhRUzmFEmHvdIaOns4DmF3BicVffXjkOjBTiaMUIA4o7feGvE5IJ0SfSco4ib955Rx7bvWlib7j9V15xp/0, createdBy=814d1631326, createdName=cmn, createdTime=Sun Jul 12 12:31:00 CST 2015, time=2015-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1315988, encodeId=3bbe13159880e, content=<a href='/topic/show?id=fa2e24053f' target=_blank style='color:#2F92EE;'>#AMD#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2405, encryptionId=fa2e24053f, topicName=AMD)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ec53439, createdName=zhty5337, createdTime=Sun Jul 12 08:25:00 CST 2015, time=2015-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1455504, encodeId=34df1455504c0, content=<a href='/topic/show?id=1e35302e085' target=_blank style='color:#2F92EE;'>#养老院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30270, encryptionId=1e35302e085, topicName=养老院)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f2715667301, createdName=tulenzi, createdTime=Sun Jul 12 08:25:00 CST 2015, time=2015-07-12, status=1, ipAttribution=)]
    2015-07-12 huaxipanxing

    看看

    0

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    2015-07-12 cmn

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    2015-07-12 zhty5337
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    2015-07-12 tulenzi

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