Factors associated with changes of care needs level in disabled older peoples receiving home medical care; Prospective observational study by Osaka Home Care REgistry (OHCARE) .
Factors associated with changes of care needs level in disabled older peoples receiving home medical care; Prospective observational study by Osaka Home Care REgistry (OHCARE) .
复制标题
接受家庭医疗护理的残疾老年人护理需求水平变化的相关因素；
DOI：
10.1111/ggi.13790
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发表时间：
2019
期刊：
影响因子：
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通讯作者：
Kamide K.
中科院分区：
文献类型：
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作者：
Yamamoto M;Kabayama M;Koujiya E Akiyama M;Higami Y;Kodama K;Nakamura T;Hirotani A;Fukuda T;Tamatani M;Okuda Y;Ikushima M;Baba Y;Nagano M;Rakugi H;Kamide K.
目的了解在2.5年期间接受家庭医疗护理的残疾老年人的护理需求水平和死亡率变化的相关因素。方法本研究纳入179名年龄≥65岁、接受家庭医疗护理的参与者，并同意加入大阪家庭护理登记研究。主要结果是符合长期护理保险制度的参与者的护理需求水平的变化。我们调查了护理需求水平的变化与基本特征和护理接受状态的关系。结果在2.5年的随访中，20.0%的参与者出现恶化，41.8%的参与者死亡。在多元logistic回归中，年龄（比值比[OR] 1.10, 95%可信区间[CI] 1.00-1.21；P= 0.051）和骨关节疾病（比值比[OR] 0.34, CI 0.09-1.22；P= 0.098）是与护理需求水平恶化相关的可能风险。男性（OR 3.28, CI 0.91-11.74；P= 0.068）可能是死亡率的危险因素，低血清白蛋白（OR 0.22, CI 0.07-0.73）是死亡率的重要危险因素。结论明确了与残疾老年人护理需求水平恶化和死亡率相关的不同因素。老年和骨关节疾病可能是身体活动独立性进一步恶化的预测因素，低血清白蛋白水平被认为与死亡率增加密切相关。Geriatr Gerontol Int 2019；19日:1198 - 1205。
AimTo clarify factors associated with changes in care needs level and mortality among disabled older people receiving home medical care over a period of 2.5 years.MethodsThe study included 179 participants, aged ≥65 years, receiving home medical care, who consented to join the Osaka Home Care Registry study. The main outcome was changes in the care needs level of participants eligible for the long‐term care insurance system. We investigated the association of changes in care needs level with basic characteristics and care‐receiving status.ResultsAt the 2.5‐year follow up, 20.0% of participants showed deteriorated levels, and 41.8% of participants died. In multiple logistic regression, age (odds ratio [OR] 1.10, 95% confidence interval [CI] 1.00–1.21;P= 0.051) and bone joint diseases (OR 0.34, CI 0.09–1.22;P= 0.098) were possible risks associated with deterioration of the care needs level. Male sex (OR 3.28, CI 0.91–11.74;P= 0.068) was a possible risk factor for mortality, and lower serum albumin (OR 0.22, CI 0.07–0.73) was a significant risk factor for mortality.ConclusionsWe clarified the different factors associated with deterioration of the care needs level and mortality among disabled older people. Old age and bone joint diseases might be predictive factors for the further deterioration of independence of physical activity, and a low serum albumin level is considered to be strongly associated with increased mortality.Geriatr Gerontol Int 2019; 19: 1198–1205.