Interactions of household composition and required care level with functional and cognitive status among disabled Japanese elderly living in a suburban apartment complex
Interactions of household composition and required care level with functional and cognitive status among disabled Japanese elderly living in a suburban apartment complex
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DOI：
10.1111/j.1447-0594.2011.00785.x
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发表时间：
2012-07-01
影响因子：
3.3
通讯作者：
Kamata, Minoru
中科院分区：
文献类型：
--
作者：
Murayama, Hiroshi;Nishinaga, Masanori;Kamata, Minoru
目的：在即将到来的超级老龄化社会中，对残疾老年人的功能和认知状况进行适当的评估对于提供护理服务将变得越来越重要。护理水平和家庭构成将是评估功能的关键因素。两个因素与函数之间也可能存在相互作用。本研究调查了居住在老年居民比例较高（2009 年为 39%）的郊区公寓大楼中的残疾老年人的家庭构成和护理水平与功能和认知状态的关系。方法：研究对象为居住在该公寓楼内的190名65岁及以上残疾老年人。横断面数据收集于2009年5月至2010年8月期间，包括护理水平、家庭构成、基本日常生活活动（BADL）、工具性日常生活活动（IADL）以及与认知状态相关的独立水平。分数较低意味着 BADL 和 IADL 的独立性较低，这由认知/独立量表决定。结果：大约一半的参与者独居。广义线性模型程序显示家庭组成和护理水平与 BADL 评分和认知/独立量表之间存在显着的交互作用。接受较高护理水平的组的 BADL 和认知/独立量表得分较低；然而，独居老年人的趋势斜率比与他人同住的老年人更为平缓。结论：医疗保健提供者必须详细评估失能老年人的状况，考虑其家庭构成和护理水平，为他们制定计划和提供援助。老年老年国际 2012； 12：538546。
Aim: In the forthcoming super-aging society, the appropriate assessment of functional and cognitive conditions of disabled elderly people will become increasingly significant in providing care services. Care level and household composition would be key factors to assess function. There might also be an interaction between the two factors with the function. The present study examined the associations of household composition and care level with functional and cognitive status among the disabled elderly living in a suburban apartment complex with a high rate of aged residents (39% in 2009). Methods: Participants were 190 disabled elderly persons aged 65 years and over who lived in the apartment complex. Cross-sectional data were collected between May 2009 and August 2010, including care level, household composition, basic activities of daily living (BADL), instrumental activities of daily living (IADL) and the independence level in relation to cognitive status. Lower scores meant less independence in BADL and IADL, and as determined by the cognitive/independence scale. Results: Approximately half of the participants lived alone. Generalized linear model procedure showed significant interactions with the BADL score and cognitive/independence scale between household composition and care level. Scores for BADL and the cognitive/independence scale in groups receiving a higher care level were lower; however, the slope of the trend for the elderly living alone was more gradual than for the elderly living with others. Conclusion: It is important for health-care providers to assess in detail the status of the disabled elderly considering both their household composition and care level in planning and providing assistance for them. Geriatr Gerontol Int 2012; 12: 538546.