Comparison of characteristics and care-needs certification proportion between participants and non-participants in a geriatric health examination over a 3-year follow-up
Comparison of characteristics and care-needs certification proportion between participants and non-participants in a geriatric health examination over a 3-year follow-up
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DOI：
10.1016/j.archger.2010.10.013
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发表时间：
2011-07-01
影响因子：
4
通讯作者：
Ueki, Shouzoh
中科院分区：
文献类型：
--
作者：
Saito, Emiko;Yasumura, Seiji;Ueki, Shouzoh
本研究的目的是比较护理需求认证的参与者和非参与者的老年健康检查的比例，针对社区居住的老年人年龄在70岁以上3年以上。2004年，我们在日本的一个地方地区对1347名70岁及以上的社区居住成年人进行了老年健康检查。我们在443名参加健康检查的受试者和395名非参与者中跟踪了3年的新护理需求认证。在838例受试者中，观察期内有94例（11%）获得新认证。非参与者有明显更高的比例依赖，需要帮助步行和洗澡，中风史，自我报告的健康状况不佳，抑郁倾向和户外活动少于一周一次。非参与者的运动健康量表（MFS）平均得分显着较低，他们的站立时间从一个长坐在地板上的位置和东京都立老年学研究所的能力指数（能力指数）。非参与者（63/395，16%）的护理需求认证比例明显高于参与者（31/443，7%，p < 0.05）。非参与者获得护理需求认证的风险更高。有必要调查目前没有接受这些检查的老年人的数据收集方法。(C)2010爱思唯尔爱尔兰有限公司版权所有。
The purpose of this study was to compare the care-needs certification proportion of participants and non-participants in a geriatric health examination targeting community-dwelling seniors aged 70 years and older over 3 years. We implemented a geriatric health examination for 1347 community-dwelling adults aged 70 years and older in a local region of Japan in 2004. We followed the occurrence of new care-needs certification for 3 years in 443 subjects who participated in the health examination and in the 395 non-participants. Among the 838 subjects, there were 94 new certifications (11%) during the observation period. Non-participants had a significantly higher proportion of dependent, required assistance with walking and bathing, a history of stroke, poor self-reported health, tendency for depression and outdoors less than once a week than participants. Non-participants had a significantly lower average score of the motor fitness scale (MFS), their standing time from a long sitting position on the floor and the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG Index of Competence). The proportion of care-needs certification over 3 years was significantly higher for non-participants (63/395, 16%) than for participants (31/443, 7%, p < 0.05). Non-participants have a higher risk of care-needs certification. It is necessary to investigate current data gathering methods for seniors who do not undergo these examinations. (C) 2010 Elsevier Ireland Ltd. All rights reserved.