Twenty-Year Trends in Dependency in Residential Aged Care in Auckland, New Zealand: A Descriptive Study
Twenty-Year Trends in Dependency in Residential Aged Care in Auckland, New Zealand: A Descriptive Study
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DOI：
10.1016/j.jamda.2011.01.014
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发表时间：
2011-09-01
影响因子：
7.6
通讯作者：
Connolly, Martin J.
中科院分区：
文献类型：
--
作者：
Boyd, Michal;Broad, Joanna B.;Connolly, Martin J.
目的：描述近20年来老年护理居民依赖状况的变化。设计：对1988年、1993年、1998年和2008年的所有居民使用相同的23项功能能力调查进行评估。地点：新西兰奥克兰的养老院。参与者：1988年7516人（99%回复率），1993年6972人（85%回复率），1998年5056人（65%回复率），2008年6828人（89%）。对数据进行加权以适应反应的变化。测量方法：从人口普查型调查中得出5个顺序水平的综合依赖评分，报告流动性、日常生活能力、自制和认知功能。结果：“明显独立”的居民比例从1988年的18%下降到1993年的9%、1998年的5%和2008年的4%，而“高度独立”的居民比例从1988年的16%上升到1993年的18%、1998年的19%和2008年的21%。所有功能指标在20年期间均显示依赖性增加（P < 0.0001）。然而，从1998年到2008年，在自理能力、行动能力、自理能力和定向能力方面的依赖性显著增加，但在记忆和行为方面没有显著变化。结论：20年以上老年人群的依赖性增加直接影响到老年人群的护理需求。（中华医学杂志2011；12:535-540）
Objective: To describe changes in aged care residents' dependency over a 20-year period.Design: All residents in 1988, 1993, 1998, and 2008 were assessed using the same 23-item functional ability survey. Setting: Residential aged care facilities in Auckland, New Zealand.Participants: In 1988 there were 7516 participants (99% response rate), 6972 in 1993 (85% response rate), 5056 in 1998 (65% response rate), and 6828 in 2008 (89% response rate). Data were weighted to accommodate variation in response.Measurements: A composite dependency score with 5 ordinal levels was derived from a census-type survey reporting mobility, activities of daily living ability, continence, and cognitive function.Results: The proportion of "apparently independent" residents decreased from 18% in 1988 to 9% in 1993, 5% in 1998, and 4% in 2008, whereas those "highly dependent" increased from 16% in 1988, to 18% in 1993, 19% in 1998, to 21% in 2008. All functional indicators demonstrated increased dependency over the 20-year period (P < .0001). However, between 1998 and 2008 there were significant increases in dependency for continence, mobility, self-care, and orientation, but no significant changes in memory and behavior.Conclusion: The increased dependency over 20 years directly affects care requirements for this population. (J Am Med Dir Assoc 2011; 12: 535-540)