Predictors of Nursing Home Admission for Persons with Dementia
Predictors of Nursing Home Admission for Persons with Dementia
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DOI：
10.1097/mlr.0b013e31818457ce
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发表时间：
2009-02-01
期刊：
影响因子：
3
通讯作者：
Wyman, Jean F.
中科院分区：
文献类型：
--
作者：
Gaugler, Joseph E.;Yu, Fang;Wyman, Jean F.
目的：本系统评价的目的是确定因素，始终预测疗养院入院（NHA）的人与dementia.Methods：研究发表在英文检索MEDLINE（1966-2006），PSYCINFO（1950-2006），CINAHL（1982-2006），和数字论文（1950-2006）数据库。还检索了检索到的研究的参考书目。研究特点和实证结果的信息提取使用标准化protocol.Results：782相关研究确定80被选中进行审查的资格标准的基础上。痴呆患者NHA最一致的预测因素包括认知障碍的严重程度、阿尔茨海默病诊断、日常生活依赖的基本活动、行为症状和抑郁。照顾者表示更大的情绪压力，渴望制度化的照顾对象，并被“困”在照顾责任的感觉更有可能承认痴呆症的人养老院。人口统计学变量，尿失禁，和服务的使用并不一致预测NHA.Conclusions：几个结果似乎挑战传统的假设是什么沉淀NHA痴呆症患者。照顾者的压力与照顾对象的特点是重要的，以考虑评估NHA风险时，研究结果强调，需要构建更复杂的模型，制度化时，设计风险措施，以针对性的干预措施。
Objective: The objective of this systematic review was to identify factors that consistently predict nursing home admission (NHA) in persons with dementia.Methods: Studies published in English were retrieved by searching the MEDLINE (1966-2006), PSYCINFO (1950-2006), CINAHL (1982-2006), and Digital Dissertations (1950-2006) databases. Bibliographies of retrieved studies were also searched. Information on study characteristics and empirical results were extracted using a standardized protocol.Results: Of 782 relevant studies identified 80 were selected for review based upon eligibility criteria. The most consistent predictors of NHA in persons with dementia included severity of cognitive impairment, Alzheimer disease diagnosis, basic activity of daily living dependencies, behavioral symptoms, and depression. Caregivers who indicated greater emotional stress, a desire to institutionalize the care recipient, and feelings of being "trapped" in care responsibilities were more likely to admit persons with dimentia to nursing homes. Demographic variables, incontinence, and service use did not consistently predict NHA.Conclusions: Several results seemed to challenge conventional assumptions of what precipitates NHA among persons with dementia. Caregiver stressors in conjunction with care recipient characteristics are important to consider when assessing NHA risk, The findings emphasize the need to construct more complex models of institutionalization when designing risk measures to target interventions.