Higher patient activation is associated with lower odds of functional limitation in older adults with chronic diseases

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2024-11-16 DOI:10.1016/j.gerinurse.2024.11.008

Ji Won Lee PhD , Junxin Li PhD, MS, BS, RN , Sarah L. Szanton PhD, ANP, FAAN , Qiwei Li PhD , Minhui Liu PhD, RN , Melissa D. Hladek PhD, FNP-BC

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引用次数: 0

Abstract

Objectives

To investigate the association between patient activation and functional limitation among older adults living with multiple chronic conditions.

Methods

We performed a secondary analysis of a parent study, which examined the relationship between self-efficacy and both inflammatory biomarkers and frailty. We conducted multivariate logistic regression while controlling for the patients’ sociodemographic variables and comorbidities to examine the association between self-reported functional limitation and patient activation as measured by the Patient Activation Measure (PAM-10).

Results

We included 159 participants with a mean age of 82.00 ± 6.27 years. While controlling for the patients’ demographic, socioeconomic status, and comorbidities, we found that functional limitation decreases by 16 % (OR 0.84, 95 % CI: 0.75, 0.94, p = 0.002) for every one unit increase in patient activation score.

Conclusion

Higher patient activation scores were associated with decreased odds of functional limitation. Providers may consider the potential value of using behavioral activation strategies to address functional decline.

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患者的积极性越高，患有慢性病的老年人功能受限的几率就越低。

目的研究患有多种慢性疾病的老年人中患者激活与功能限制之间的关系：我们对一项母研究进行了二次分析，该研究探讨了自我效能与炎症生物标志物和虚弱之间的关系。我们进行了多变量逻辑回归，同时控制了患者的社会人口学变量和合并症，以研究自我报告的功能限制与患者激活度量表（PAM-10）测量的患者激活度之间的关系：我们共纳入了 159 名参与者，他们的平均年龄为 82.00 ± 6.27 岁。在控制了患者的人口统计学、社会经济状况和合并症的情况下，我们发现患者活跃度得分每增加一个单位，功能限制就会减少 16 %（OR 0.84，95 % CI：0.75，0.94，p = 0.002）：结论：患者活化得分越高，功能受限的几率越低。医疗服务提供者可以考虑使用行为激活策略来解决功能衰退问题的潜在价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.