Anticipatory anxiety about future dementia-related care needs: towards a dementia-friendly community.
Anticipatory anxiety about future dementia-related care needs: towards a dementia-friendly community.
复制标题
对未来痴呆症相关护理需求的预期焦虑：建立一个对痴呆症友好的社区。
DOI：
10.1111/psyg.12433
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发表时间：
2019
期刊：
影响因子：
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通讯作者：
Awata S.
中科院分区：
文献类型：
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作者：
Okamura T;Sugiyama M;Inagaki H;Murayama H;Ura C;Miyamae F;Edahiro A;Motokawa K;Awata S.
虽然痴呆友好社区是一个全球目标，但社区居住的痴呆症患者仍然有未满足的护理需求。本研究的目的是探讨谁的经验焦虑的可能性，不接受适当的痴呆症护理的人的特点，如果他们需要在future.MethodsA问卷邮寄给所有居民年龄在65岁或以上（n= 132 005）生活在东京一个区。问卷包括一个项目，测量焦虑的可能性，不接受适当的痴呆症护理以及项目的社会人口变量，抑郁症状，虚弱，居家状态，社会经济地位，社会支持，获得全科医生（GP），和经验的痴呆症护理。58481人（78.8%）报告了对未来可能无法获得适当痴呆症护理的焦虑。同时多元逻辑回归分析表明，与这种预期焦虑相关的因素是抑郁症状，虚弱或虚弱前期，是女性，目前不是社会经济弱势群体，当你感觉不舒服时没有人可以带你去医院，年轻（65-74岁）、已婚、不信任邻居、教育程度较高（>9岁），遇到麻烦时没有人可以咨询，没有工作，童年时在社会经济上处于不利地位，只与邻居打招呼或很少打招呼，没有老年痴呆症护理经验。有机会获得一个家庭医生，独自生活，每周外出不到一次没有显示出显着的associations.ConclusionsThis大规模的研究探讨了与预期焦虑的可能性，不接受适当的痴呆症护理，如果它在未来需要的相关因素。需要进一步研究减少这种焦虑的干预措施。
AimAlthough a dementia‐friendly community is a global goal, community‐dwelling persons with dementia continue to have unmet care needs. The aim of this study was to explore the characteristics of persons who experience anxiety about the possibility of not receiving proper dementia care should they need it in the future.MethodsA questionnaire was mailed to all residents aged 65 years or older (n= 132 005) living in one Tokyo district. The questionnaire included an item that measured anxiety about the possibility of not receiving proper dementia care as well as items about sociodemographic variables, depressive symptoms, frailty, housebound status, socioeconomic status, social support, access to a general practitioner (GP), and experience of dementia care.ResultsOf the 74 171 participants who responded to the anxiety item, 58 481 (78.8%) reported anxiety about the possibility of not receiving proper dementia care should they need it in the future. Simultaneous multiple logistic regression analysis indicated that factors associated with this anticipatory anxiety were depressive symptoms, frailty or prefrailty, being female, not being currently socioeconomically disadvantaged, not having someone who can take you to the hospital when you do not feel well, being younger (65–74 years), being married, not trusting in neighbours, higher educational level (>9 years), not having someone to consult when you are in trouble, not working, having been socioeconomically disadvantaged in childhood, only greeting or less with neighbours, and not having the experience of dementia care. Having access to a GP, living alone, and going out less than once a week did not show a significant association.ConclusionsThis large‐scale study explored factors associated with anticipatory anxiety about the possibility of not receiving proper dementia care should it be needed in the future. Further studies concerning interventions to decrease such anxiety are needed.