Do Family Proxies Get It Right? Concordance in Reports of Nursing Home Residents' Everyday Preferences.
Do Family Proxies Get It Right? Concordance in Reports of Nursing Home Residents' Everyday Preferences.
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DOI：
10.1177/0733464815581485
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发表时间：
2017-06
期刊：
影响因子：
--
通讯作者：
Van Haitsma K
中科院分区：
文献类型：
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作者：
Heid AR;Bangerter LR;Abbott KM;Van Haitsma K
有限的工作已经研究了家庭代理人如何理解养老院居民的偏好。与85个二元的养老院居民和相对的，我们利用描述性统计和多层次建模来检查的一致性报告的重要性评级的72个日常偏好的居民。结果显示，代理人和居民在72个偏好中的12个上的p <0.001水平上存在显著的平均差异;然而，反应的完全一致性很差，只有在将反应分为重要结果和不重要结果时才会增加。多层次建模进一步表明，二元体是不一致的增长活动的重要性，为居民的报告，居民报告的重要性高于代理。这种差异与居民的听力障碍和代理人对居民开放性的看法有关。研究结果强调了代理人如何能够为养老院的居民提供护理，但也需要进一步讨论。
Limited work has examined how well family proxies understand nursing home residents’ preferences. With 85 dyads of a nursing home resident and relative, we utilize descriptive statistics and multi-level modeling to examine the concordance in reports of importance ratings of 72 everyday preferences for residents. Results reveal significant mean differences at the p < .001 level between proxies and residents on 12 of 72 preferences; yet perfect agreement in responses is poor and only increases when dichotomizing responses into an important versus not important outcome. Multi-level modeling further indicates that dyads are discrepant on reports of the importance of growth activities for residents, with residents reporting higher levels of importance than proxies. This discrepancy is associated with residents’ hearing impairment and proxies’ perception of resident openness. The findings highlight how proxies may be able to inform care for residents in nursing homes, but also where further discussions are warranted.