A PROSPECTIVE-STUDY OF LONG-TERM CARE INSTITUTIONALIZATION AMONG THE AGED
A PROSPECTIVE-STUDY OF LONG-TERM CARE INSTITUTIONALIZATION AMONG THE AGED
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DOI：
10.2105/ajph.72.12.1373
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发表时间：
1982-01-01
影响因子：
12.7
通讯作者：
JETTE, AM
中科院分区：
文献类型：
--
作者：
BRANCH, LG;JETTE, AM
以美国马萨诸塞州1625名老年人为研究对象，对影响老年人长期照护机构化的主要因素进行了前瞻性研究。老年人（147），9%的原始队列，进入长期护理机构在6年的调查。使用logistic多元回归，19个独立变量的预测能力进行了检查，分为6类：人口统计学特征，态度，社会背景，长期护理需求，身体残疾，精神情感残疾。五个变量显着相关的机构：年龄增长，使用流动援助，精神定向障碍，独居，并使用援助来执行日常生活的工具性活动。这些结果可能有助于那些试图将非机构服务作为机构长期护理的替代品的人。它们也可能有助于解释为什么最近以非机构护理取代机构服务的实验性测试不太成功。
A statewide probability sample of 1625 elders living in Massachusetts, USA is studied prospectively to identify key determinants of long-term care (LTC) institutionalization. Elders (147), 9% of the original cohort, entered a LTC institution during the 6 yr investigation. Using logistic multiple regression, the predictive power was examined of 19 independent variables grouped into 6 categories: demographic characteristics, attitude, social context, long-term care needs, physical disability, and mental-emotional disability. Five variables are significantly related to institutionalization: advancing age, using ambulatory aids, mental disorientation, living alone, and using assistance to perform instrumental activities of daily living. These results may be helpful to those trying to target non-institutional services to elders for use as substitutes for institutional long-term care. They may also help explain why recent experimental tests of substituting non-institutional care for institutional services have been less than successful.