Associations between unmet palliative care needs and cognitive impairment in a sample of diverse, community-based older adults.
Associations between unmet palliative care needs and cognitive impairment in a sample of diverse, community-based older adults.
复制标题
未满足的姑息治疗需求和认知障碍之间的关联，在一个样本的多样化，以社区为基础的老年人。
DOI：
10.1017/s1478951520000395
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发表时间：
2021-03
影响因子：
2.2
通讯作者：
Sirey JA
中科院分区：
文献类型：
--
作者：
Kozlov E;Wynn MJ;Reid MC;Henderson CR;Dong X;Sirey JA
鉴于大量社区老年人患有轻度认知障碍，因此必须更好地了解社区样本中未满足的姑息治疗（PC）需求与轻度认知障碍之间的关系。参与者包括在位于纽约市的老年中心接受服务的60岁以上的成年人。蒙特利尔认知评估（莫卡）和未满足的姑息治疗需求筛选工具用于评估参与者的认知状态和PC需求。我们的研究结果揭示了未满足的PC需求和轻度认知障碍之间的二次关系，控制性别，生活状况和年龄。莫卡评分低或高的参与者报告的PC需求低于莫卡评分平均的参与者，对比的平均差异（低和高vs.中）= 2.15，P = 0.08。这项研究是阐明认知障碍和PC需求之间的关系，在一个不同的社区样本的老年人的第一步。需要更多的研究来更好地了解社区中有认知障碍的老年人的独特PC需求。
Given a large number of community-based older adults with mild cognitive impairment, it is essential to better understand the relationship between unmet palliative care (PC) needs and mild cognitive impairment in community-based samples. Participants consisted of adults ages 60+ receiving services at senior centers located in New York City. The Montreal Cognitive Assessment (MoCA) and the Unmet Palliative Care Needs screening tool were used to assess participants’ cognitive status and PC needs. Our results revealed a quadratic relationship between unmet PC needs and mild cognitive impairment, controlling for gender, living status, and age. Participants with either low or high MoCA scores reported lower PC needs than participants with average MoCA scores, mean difference of the contrast (low and high vs. middle) = 2.15, P = 0.08. This study is a first step toward elucidating the relationship between cognitive impairment and PC needs in a diverse community sample of older adults. More research is needed to better understand the unique PC needs of older adults with cognitive impairment living in the community.