Alzheimers Dement:养老院实行记忆护理可减低老人住院风险

2022-01-05 影像小生 MedSci原创

与一般辅助生活相比,记忆护理与养老院安置率降低有关,尤其是长期入住率。

记忆护理都是一个值得研究的范畴,首先,这一标识向消费者发出了一个信号,即辅助生活社区能够为患有痴呆症的老年人提供特定的护理,即使是在那些记忆护理是一种自我标识、只需要极少额外规定或要求的州。第二,居民为记忆护理所支付的费用比一般辅助生活费用高出近40%。因此,对于居民及其家人以及政策制定者来说,了解记忆护理是否能取得更好的效果是很重要的。

Portia Y. Cornell等在Alzheimers Dement杂志发表研究文章,比较了老年痴呆症和相关痴呆症(ADRD)患者在记忆护理辅助生活和一般辅助生活的疗养院和医院的入院情况。

在大型(> 25 个床位)辅助生活社区中对患有 ADRD 的医疗保险受益人进行回顾性研究。我们使用风险差异和生存分析比较了两组入院、入疗养院和长期(>90 天)入院疗养院的情况。

倾向评分的分层结果

FI Kaplan-Meier估计结果的概率。

记忆护理辅助生活的居民调整后的住院风险较低(风险差 = -1.8 个百分点 [P = .014],风险比 = 0.93 [0.87-1.00]),入住疗养院的风险较低(风险差异 = -2.2 个百分点 [P < .001],风险比 = 0.87 [-.79-0.95]),长期入住疗养院的风险较低(风险差 = -1.1 个百分点 [P < .001],风险比 = 0.71 [0.57-0.88])。

该研究分析一般辅助生活和记忆护理辅助生活的结果。与普通护理相比,进入记忆护理辅助生活的ADRD患者进入养老院的风险更低,而且长期住在养老院的可能性更小。这种差异可能是由于在这些环境中的护理过程。记忆护理社区能够更好地应对与痴呆症相关的行为。

 

原文出处

Cornell PY, Zhang W, Smith L, et al. Memory care reduces nursing home admissions among assisted-living residents with dementia [published online ahead of print, 2022 Jan 3]. Alzheimers Dement. 2022;10.1002/alz.12513. doi:10.1002/alz.12513 

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    2022-10-31 医者仁心
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    2022-01-06 cia39381792

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    2022-01-06 tulenzi
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    2022-01-05 坚定的心

    学习了

    0

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