The Combined Burden of Hearing Loss and Cognitive Impairment in a Group Care Setting for Older Adults.
The Combined Burden of Hearing Loss and Cognitive Impairment in a Group Care Setting for Older Adults.
复制标题
老年人集体护理环境中听力损失和认知障碍的综合负担。
DOI：
10.1044/2020_jslhr-20-00068
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Wheeler,KaraA
中科院分区：
文献类型：
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作者：
Mamo,SaraK;Wheeler,KaraA
目的本研究的目的是更好地表征老年人在长期团体护理环境中的医疗和社会健康特征，并考虑听力损失和认知障碍双重负担的影响。方法对160名参加马萨诸塞州和罗德岛州老年人综合护理计划的成年人（年龄：59.8-99.7岁）进行描述性分析，包括听力测试、问卷调查和医疗图表回顾的数据。使用描述性统计，在听力损失和认知状况的分类基础上，通过一系列人口和健康变量对各组进行比较。结果结果表明，听力损失和认知障碍在老年人样本中非常普遍。在这个样本中，43%的人除了认知障碍外，听力较好的那只耳朵至少有轻微的听力损失。人口统计学和健康变量的描述性分析表明，在这个方便样本的听力损失程度类别中，有认知障碍和没有认知障碍的人之间几乎没有差异。在所有参与者中，其他慢性疾病的患病率很高，最明显的是糖尿病（59%）、高血压（90%）、心血管疾病（80%）和抑郁症（67%）。结论在本样本中，在听力损失程度范围内，认知障碍组之间的人口学和健康变量无显著差异；然而，在这个样本中，听力损失和认知障碍的双重负担的患病率很高。为老年人服务的临床医生，特别是那些获得团体护理服务的临床医生，应该认识到多种慢性疾病的高负担，并计划可纳入综合方法的护理。
PurposeThe purpose of the current study is to better characterize the medical and social health characteristics of older adults in a long-term group care setting and consider the impact of the dual burden of hearing loss and cognitive impairment.MethodThis descriptive analysis of a convenience sample of 160 adults (Mage= 74 years, age range: 59.8–99.7) participating in Program for All-inclusive Care for the Elderly programs in Massachusetts and Rhode Island included data from hearing testing, questionnaires, and medical chart review. Using descriptive statistics, groups are compared across a range of demographic and health variables on the categorical bases of hearing loss and cognitive status.ResultsResults suggest that hearing loss and cognitive impairment are highly prevalent among this sample of older adults. Forty-three percent of this sample has at least a mild hearing loss in the better hearing ear in addition to cognitive impairment. Descriptive analyses across demographic and health variables suggest there are few differences between those with and without cognitive impairment when compared within degree of hearing loss categories in this convenience sample. Across all participants, there was a high prevalence of other chronic conditions, most notably diabetes (59%), hypertension (90%), cardiovascular disease (80%), and depression (67%).ConclusionsIn this sample, there were not significant differences on demographic and health variables between the cognitive impairment groups when considered within their degree of hearing loss; however, the prevalence of the dual burden of hearing loss and cognitive impairment in this sample is high. Clinicians serving older adults, especially those accessing group care services, should be cognizant of the high burden of multiple chronic conditions and plan care that can be integrated into a comprehensive approach.