Demographic and clinical profile of residents living with dementia and depressive symptoms in Australian private residential aged care: Data from the Music Interventions for Dementia and Depression in ELderly care (MIDDEL) cluster-randomised controlled trial.
Demographic and clinical profile of residents living with dementia and depressive symptoms in Australian private residential aged care: Data from the Music Interventions for Dementia and Depression in ELderly care (MIDDEL) cluster-randomised controlled trial.
复制标题
澳大利亚私人住宅老年护理中患有痴呆症和抑郁症状的居民的人口统计学和临床特征：来自痴呆症和老年护理（Middel）群集伴随的对照试验的痴呆症和抑郁症的数据。
DOI：
10.1111/ajag.13104
复制
发表时间：
2022-12
影响因子：
1.6
通讯作者：
Baker, Felicity A.
中科院分区：
文献类型：
--
作者：
Lee, Young-Eun C.;Sousa, Tanara Vieira;Stretton-Smith, Phoebe A.;Gold, Christian;Geretsegger, Monika;Baker, Felicity A.
1)描述澳大利亚私人住宅老年护理（RAC）背景下患有痴呆和抑郁症状的居民的人口学和临床特征；2)研究神经精神症状、抑郁和生活质量之间的关系及其与痴呆严重程度的相互作用。这项研究检查了澳大利亚音乐干预老年痴呆和抑郁症研究（MIDDEL）的基线人口统计学和临床数据，这是一项跨国、聚类随机对照试验。收集了澳大利亚墨尔本12家私人RAC机构的330名居民的人口统计学特征、神经精神症状、抑郁、生活质量和痴呆严重程度。描述性统计、Kruskal-Wallis检验和Pearson Χ2检验用于描述和比较痴呆严重程度的人口学和临床特征。临床特征与痴呆严重程度之间的关系采用线性回归分析。居民平均年龄86.5岁，女性占69%，44.2%患有重度痴呆。痴呆严重程度组之间在年龄、性别和教育程度上没有显著差异。患有严重痴呆症的居民更有可能被诊断为阿尔茨海默病（40.3%），出生在海外（46.8%）。较高水平的神经精神症状、痛苦和抑郁症状以及较低的生活质量与更严重的痴呆症有关。我们的研究结果强调了澳大利亚私人RAC环境中痴呆症患者的多样化和复杂的护理需求，这可以用来为有针对性的、以人为本的痴呆症护理计划、员工培训和资源分配提供信息。
1) To describe the demographic and clinical characteristics of residents with dementia and depressive symptoms in the Australian private residential aged care (RAC) context; and 2) to investigate the association between neuropsychiatric symptoms, depression and quality of life and their interactions with dementia severity. This study examined the baseline demographic and clinical data from the Australian arm of the Music Interventions for Dementia and Depression in ELderly care (MIDDEL) study, a multinational, cluster‐randomised controlled trial. Demographic characteristics, neuropsychiatric symptoms, depression, quality of life and dementia severity were collected in 330 residents of 12 private RAC facilities across Melbourne, Australia. Descriptive statistics, the Kruskal–Wallis test and the Pearson Χ2 test were used to describe and compare the demographic and clinical characteristics according to dementia severity. The association between clinical characteristics and dementia severity was examined using linear regression analyses. Residents' mean age was 86.5 years, 69% were female, and 44.2% had severe dementia. There were no significant differences between the dementia severity groups on age, sex and education. Residents with severe dementia were more likely to have a diagnosis of Alzheimer's disease (40.3%) and be born overseas (46.8%). Higher levels of neuropsychiatric symptoms, distress and depressive symptoms, and lower quality of life were associated with more severe dementia. The findings from our study highlight the diverse and complex care needs of people living with dementia in the Australian private RAC setting, which can be used to inform targeted, person‐centred dementia care planning, staff training and allocation of resources.
登录
查看更多内容
影响因子：
2.7
作者：
Macfarlane, Stephen;O'Connor, Daniel
通讯作者：
O'Connor, Daniel
影响因子：
7.2
作者：
Trzepacz, Paula T.;Saykin, Andrew;Cummings, Jeffrey L.
通讯作者：
Cummings, Jeffrey L.
DOI：
10.1016/s2666-7568(22)00027-7
发表时间：
2022-03-01
期刊：
The lancet. Healthy longevity
影响因子：
--
作者：
Baker, Felicity A;Lee, Young-Eun C;Gold, Christian
通讯作者：
Gold, Christian
影响因子：
4.2
作者：
Huang, Hsiu-Li;Chang, Mei Yeh;Weng, Li-Chueh
通讯作者：
Weng, Li-Chueh
影响因子：
4
作者：
Hongisto, Kristiina;Hallikainen, Ilona;Koivisto, Anne M.
通讯作者：
Koivisto, Anne M.