研究老年人搬迁到寄宿护理机构时的护理网络特征。

IF 4.9 3区 医学 Q1 GERIATRICS & GERONTOLOGY
Innovation in Aging Pub Date : 2024-09-26 eCollection Date: 2024-01-01 DOI:10.1093/geroni/igae087
Natasha Nemmers, Wenhua Lai, Sophia Tsuker, Srabani Haldar, Vicki A Freedman, Amanda N Leggett
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引用次数: 0

摘要

背景和目标:当老年人面临日益增长的护理需求或有限的支持时,安全舒适地呆在家中就变得非常具有挑战性。现有研究主要集中在老年人或其主要照顾者入住养老院时的特征。本研究探讨了老年人过渡到寄宿护理(如辅助生活、养老院)的风险,重点关注他们的护理网络或多个帮助者参与的影响:利用 "全国健康与老龄化趋势研究"(National Health and Aging Trends Study),我们建立了考虑死亡率的竞争风险回归模型,在第 1-9 轮(2011-2019 年)中对 7085 名最初居住在社区的老年人进行了跟踪调查。我们评估了网络的组成、规模、分担的任务以及网络内专科医生或全科医生的数量,同时控制了个人的社会人口和健康因素:结果:在共享医疗任务的护理网络中,个人搬到住宿护理环境的风险最高,其次是共享家务任务的护理网络。相反,分担行动或自我护理和交通责任的风险较低。拥有更多的全科医生而非专科医生会增加风险。虽然拥有配偶等近亲属具有保护作用,但更大的网络与更高的风险相关:研究结果强调,护理网络的特征对老年人居家养老的能力至关重要。具体来说,护理网络规模较大、没有配偶或子女以及提供复杂护理的老年人搬迁风险更大。了解护理网络可以指导与护理网络协调和资源分配相关的干预措施,帮助避免或推迟居住护理搬迁。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Examining Care Network Characteristics in Older Adults' Relocation to Residential Care Settings.

Background and objectives: When older adults face increasing care needs or limited support, remaining safely and comfortably at home becomes challenging. Extant research has primarily concentrated on characteristics of the older adult or their primary caregiver on nursing home admission. This study examines the risk of older adults transitioning to residential care (e.g., assisted living, nursing home), focusing on the influence of their care network or involvement of multiple helpers.

Research design and methods: Using the National Health and Aging Trends Study, we conducted competing risk regression models that account for mortality, following 7,085 initially community-dwelling older adults across Rounds 1-9 (2011-2019). We assessed network composition, size, shared tasks, and the number of in-network specialists or generalists while controlling for individual sociodemographic and health factors.

Results: Individuals with care networks that shared medical tasks had the highest risk of moving to a residential care setting, followed by those sharing household tasks. Conversely, shared mobility or self-care and transportation responsibilities were associated with lower risks. Having more generalists, but not specialists, increased the risk. Larger networks were associated with heightened risk, although having close family members like a spouse was protective.

Discussion and implications: The findings underscore that care network characteristics are critical to older adults' ability to age in place. Specifically, older adults with larger networks, lacking a spouse or child, and providing complex care are at greater risk for relocating. Understanding care networks can guide interventions related to care network coordination and resource allocation to help avoid or postpone a residential care move.

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来源期刊
Innovation in Aging
Innovation in Aging GERIATRICS & GERONTOLOGY-
CiteScore
4.10
自引率
0.00%
发文量
72
审稿时长
15 weeks
期刊介绍: Innovation in Aging, an interdisciplinary Open Access journal of the Gerontological Society of America (GSA), is dedicated to publishing innovative, conceptually robust, and methodologically rigorous research focused on aging and the life course. The journal aims to present studies with the potential to significantly enhance the health, functionality, and overall well-being of older adults by translating scientific insights into practical applications. Research published in the journal spans a variety of settings, including community, clinical, and laboratory contexts, with a clear emphasis on issues that are directly pertinent to aging and the dynamics of life over time. The content of the journal mirrors the diverse research interests of GSA members and encompasses a range of study types. These include the validation of new conceptual or theoretical models, assessments of factors impacting the health and well-being of older adults, evaluations of interventions and policies, the implementation of groundbreaking research methodologies, interdisciplinary research that adapts concepts and methods from other fields to aging studies, and the use of modeling and simulations to understand factors and processes influencing aging outcomes. The journal welcomes contributions from scholars across various disciplines, such as technology, engineering, architecture, economics, business, law, political science, public policy, education, public health, social and psychological sciences, biomedical and health sciences, and the humanities and arts, reflecting a holistic approach to advancing knowledge in gerontology.
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