Association between having a hot spring water supply in the home and prevention of long-term care
Association between having a hot spring water supply in the home and prevention of long-term care
复制标题
DOI：
10.1016/j.ctcp.2018.10.001
复制
发表时间：
2018-11-01
影响因子：
3
通讯作者：
Ojima, Toshiyuki
中科院分区：
文献类型：
--
作者：
Hayasaka, Shinya;Uchida, Minoru;Ojima, Toshiyuki
背景与目的：基础研究表明，温泉对身心健康有积极的作用。然而，习惯性温泉使用和预防长期护理之间的联系尚不清楚。本研究以日本热海市的居民为对象，利用长期护理保险的数据，探讨在家中安装温泉水供应系统与预防长期护理之间的关系。研究设计：病例对照研究2。主题：日本静冈县热海市2719名居民（男性754名，女性1965名），他们接受了长期护理保险，截至2017年3月被证明为“需要支持”或“需要长期护理”。3.调查方法：关于长期护理保险认证的信息与受试者的护理水平相关联，可追溯到他们最初的认证。此外，每个受试者家中的温泉水供应的安装（或缺乏）与截至2017年3月的热海家庭用水信息相关联。4.分析方法：确定受试者的年龄分布。然后比较了2194名至少获得两次长期护理认证的受试者的初始护理状态和截至2017年3月的护理状态。这些受试者被分为两组：护理水平没有改变或改善的受试者（无改变/改善组）和护理水平恶化的受试者（恶化组）。然后，按性别和初始护理水平比较受试者的温泉安装和护理水平无变化/改善或恶化的百分比;使用卡方检验计算比值比（OR）和95%置信区间（CI）。最后，同样的分析进行了分组在一起的所有科目，OR和95%CI计算使用Mantel-Haenszel test.Results：温泉安装在家中的2359个科目的整体（86.8%）。无变化/改善组和恶化组分别包括1192例和1002例受试者。总体而言，温泉组中有1050名受试者（55.2%）和非温泉组中有142名受试者（48.5%）的护理水平得到改善或没有变化。性别调整OR（95%CI）为1.311（1.025-1.677，p = 0.036），代表显著相关性。有一个温泉水供应在家里可能与防止恶化的护理level.Conclusion：有一个温泉水供应在家里可能与防止恶化的护理水平。
Background and objective: According to basic studies, hot spring use has positive effects on the mind and body. However, the association between habitual hot spring use and prevention of long-term care is unknown. Using long-term care insurance data for the residents of Atami City, Japan, who can choose to install hot spring water supply in their homes, this study aimed to determine the association between the installation of a hot spring water supply in the home and prevention of long-term care.Methods: 1. Study design: case-control study 2. Subjects: 2719 residents (754 men, 1965 women) of Atami City, Shizuoka Prefecture, Japan, who received long-term care insurance and were certified as "Needing Support" or "Needing Long-Term Care" as of March 2017. 3. Survey methods: Information on long-term care insurance certification was linked to subjects' care level dating back to their initial certification. Also, the installation (or lack thereof) of hot spring water supply in each subjects home was linked to information on Atami household water use as of March 2017. 4. Analysis methods: The age distribution of the subjects was determined. Initial care status and care status as of March 2017 were then compared for the 2194 subjects who received long-term care certification at least twice. These subjects were classified into two groups: those whose care level had not changed or had improved (no change/improvement group) and those whose care level had worsened (worsening group). Subjects were then compared by sex and initial care level in terms of hot spring installation and percentages of no change/improvement or worsening of care level; odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using the chi-square test. Lastly, the same analysis was performed for all subjects grouped together, and ORs and 95% CIs were calculated using the Mantel-Haenszel test.Results: Hot springs were installed in the homes of 2359 subjects overall (86.8%). The no change/improvement group and the worsening group comprised 1192 and 1002 subjects, respectively. Overall, improvement or no change in care level was observed in 1050 subjects (55.2%) in the hot spring group and 142 subjects in the no hot spring group (48.5%). Sex-adjusted OR (95% CI) was 1.311 (1.025-1.677, p = 0.036), which represented a significant association. Having a hot spring water supply in the home may be associated with preventing worsening of care level.Conclusion: Having a hot spring water supply in the home may be associated with preventing worsening of care level.