The role of accommodations in poststroke disability management.
The role of accommodations in poststroke disability management.
复制标题
住宿在中风后残疾管理中的作用。
DOI：
10.1093/geronb/gbu117
复制
发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Freedman,VickiA
中科院分区：
文献类型：
--
作者：
Skolarus,LesliE;Burke,JamesF;Freedman,VickiA
目的探讨老年卒中幸存者辅助设备和个人援助的使用以及未满足的援助需求，并确定潜在的可修改因素，以优化该人群的自我护理和活动能力。自我报告的卒中幸存者（N= 892）和无卒中对照组（N= 6，709）的缓解使能因素和需求相关因素。对于个人自我护理和移动活动，我们检查了住宿类型（无设备/无帮助，设备/无帮助，设备/帮助，帮助/无设备）和卒中状态未满足的需求。对于中风幸存者的样本，然后我们估计（a）多项逻辑回归模型预测类型的住宿和（B）逻辑回归模型预测未满足的需求。ResultsStroke幸存者使用更多的辅助设备，并获得更多的个人援助，有更大的未满足的需求比无中风对照。在调整后的模型，身体和认知能力的措施是最重要的预测住宿和住宿最重要的预测未满足的need.DiscussionAlthough住宿是常用的老年人中风幸存者，未满足的需求也是巨大的。未来的研究应集中在寻找改善卒中后功能能力和认知能力的方法，并加强辅助设备的采用，以减少未满足的需求。
ObjectiveTo explore use of assistive devices and personal assistance and unmet need for assistance among older stroke survivors and identify potentially modifiable factors to optimize self-care and mobility activities in this population.MethodUsing the 2011 National Health and Aging Trends Study, we compared demographic characteristics, accommodation-enabling factors and need-related factors for self-reported stroke survivors (N= 892) and stroke-free controls (N= 6,709). For individual self-care and mobility activities, we examined type of accommodation (no devices/no help, devices/no help, devices/help, help/no devices) and unmet need by stroke status. For the sample of stroke survivors, we then estimated (a) multinomial logistic regression models predicting type of accommodation and (b) logistic regression models predicting unmet need.ResultsStroke survivors used more assistive devices and received more personal assistance and had greater unmet need than stroke-free controls. In adjusted models, physical and cognitive capacity measures were most important in predicting accommodations and accommodations most important in predicting unmet need.DiscussionAlthough accommodations are commonly used by older adult stroke survivors, unmet need is also substantial. Future research should focus on finding ways to improve poststroke functional capacity and cognitive capacity and enhance adoption of assistive devices with the aim of reducing unmet need.