Investigating the Prevalence and Predictors of Apathy among the Canadian Long-Term Care Residents: A Secondary Data Analysis.

IF 1.7 Q2 NURSING
Canadian Journal of Nursing Research Pub Date : 2024-12-01 Epub Date: 2024-08-28 DOI:10.1177/08445621241276613
Aderonke Agboji, Shannon Freeman, Davina Banner, Joshua Armstrong, Melinda Martin-Khan
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引用次数: 0

Abstract

Background: In long-term care facilities (LTCF), apathy is a prevalent issue, leading to cognitive decline, functional impairment, and increased mortality risk. Despite its significance, apathy often remains underrecognized and undermanaged in these settings. Recognizing and addressing the predictors of apathy is critical for early intervention and improved care outcomes.

Purpose: This study aims to assess the prevalence of apathy and identify its associated risk factors among newly admitted residents in the Canadian LTCF, using the InterRAI Minimum Data Set (MDS 2.0).

Methods: We conducted a cross-sectional analysis of MDS 2.0 admission assessment data between 2015 and 2019, covering 157,596 residents across six Canadian provinces and one territory. Apathy was measured using the Apathy Index of the MDS 2.0, with the biopsychosocial model guiding the analysis.

Results: The prevalence of apathy was 12.5% (19,758 individuals). The most significant predictors include cognitive impairments, specific age groups, hearing impairments, vision impairments, facility size and location.

Conclusions: The findings of this study underscore the need for tailored strategies in LTCF to address apathy, considering individual, institutional, and regional variations. Emphasis on environmental and personal factors is crucial in the management and prevention of apathy in these settings.

调查加拿大长期护理居民中冷漠情绪的普遍性和预测因素:二次数据分析
背景:在长期护理机构(LTCF)中,冷漠是一个普遍存在的问题,它会导致认知能力下降、功能障碍和死亡风险增加。尽管冷漠很重要,但在这些环境中,冷漠往往仍未得到充分认识和管理。目的:本研究旨在使用 InterRAI 最低数据集(MDS 2.0)评估加拿大 LTCF 中新入院居民的冷漠症发生率并确定其相关风险因素:我们对2015年至2019年期间的MDS 2.0入院评估数据进行了横断面分析,涵盖了加拿大6个省和1个地区的157596名住院患者。冷漠使用 MDS 2.0 的冷漠指数进行测量,并以生物心理社会模型为指导进行分析:冷漠症的发病率为 12.5%(19758 人)。最重要的预测因素包括认知障碍、特定年龄组、听力障碍、视力障碍、设施规模和地点:这项研究的结果强调,考虑到个人、机构和地区的差异,有必要在 LTCF 中采取量身定制的策略来解决冷漠问题。强调环境和个人因素对于在这些环境中管理和预防冷漠症至关重要。
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来源期刊
CiteScore
4.00
自引率
4.80%
发文量
32
期刊介绍: We are pleased to announce the launch of the CJNR digital archive, an online archive available through the McGill University Library, and hosted by the McGill University Library Digital Collections Program in perpetuity. This archive has been made possible through a Richard M. Tomlinson Digital Library Innovation and Access Award to the McGill School of Nursing. The Richard M. Tomlinson award recognizes the ongoing contribution and commitment the CJNR has made to the McGill School of Nursing, and to the development and nursing science in Canada and worldwide. We hope this archive proves to be an invaluable research tool for researchers in Nursing and other faculties.
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