日本功能受限的老年人进入养老院的意图与室内环境的关联。

IF 4.2 2区医学 Q2 GERIATRICS & GERONTOLOGY

Journal of the American Medical Directors Association Pub Date : 2025-02-01 DOI:10.1016/j.jamda.2024.105383

Xueying Jin MBA, PhD , Kenjiro Kawaguchi MD, MPH, PhD , Taiji Noguchi PhD , Katsunori Kondo MD, PhD , Tami Saito PhD

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引用次数: 0

摘要

目标：室内环境是指建筑物内的条件，包括热舒适、空气质量、照明和噪音水平。然而，在功能受限的老年人中，室内环境与进入养老院的意愿之间的关系尚不清楚。因此，本研究考察了室内环境因素与进入养老院意愿的关系。设计：日本老年学评估研究-家庭护理2022的横断面数据。环境和参与者：本研究包括3202名年龄≥65岁、经日本长期护理保险制度认证、住在家里的成年人。方法：通过询问参与者是否考虑进入养老院来评估他们进入养老院的意图。室内环境评估采用建筑环境效率住宅健康综合评估系统，包括5个项目：制冷、供暖、声学、气味和照明环境。采用Logistic回归检验这5项与疗养院入院考虑之间的关系。结果：大约43.0%的参与者考虑过入住养老院。在调整社会人口因素、经济状况、健康状况和长期护理相关因素后，室内环境总分（包括5项）与入住养老院呈负相关。结论与启示：本研究结果显示，较好的室内环境在制冷、供暖、声学、气味和照明方面可能会延迟疗养院的入住时间。将这些室内环境因素的评估纳入政策框架可能会提高长期护理战略的有效性，并促进老龄化。

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Association of Indoor Environment with the Intention to Enter Nursing Homes among Older Adults with Functional Limitations in Japan

Objectives

The indoor environment refers to the conditions within a building, including thermal comfort, air quality, lighting, and noise levels. However, the association between the indoor environment and the intention to enter nursing homes among older adults with functional limitations remains unclear. Therefore, this study examined the association of indoor environmental factors with intention to enter nursing homes within this population.

Design

Cross-sectional data from the Japan Gerontological Evaluation Study-Home Care 2022.

Setting and Participants

This study included 3202 adults aged ≥65 years, certified under the Japanese long-term care insurance system, and living at home.

Methods

Intention to enter nursing homes was assessed by asking the participants if they were considering entering a nursing home. The indoor environment was assessed using the Comprehensive Assessment System for Built Environment Efficiency Housing Health Checklist, which includes 5 items: cooling, heating, acoustic, odor, and lighting environments. Logistic regression was used to examine the association between these 5 items and consideration of nursing home admissions.

Results

Approximately 43.0% of participants had considered nursing home admission. After adjusting for sociodemographic factors, economic status, health, and long-term care–related factors, the overall indoor environment score, which includes 5 items, was negatively related to nursing home admission.

Conclusions and Implications

The results of this study revealed that better indoor environments in terms of cooling, heating, acoustics, odor, and lighting could potentially delay nursing home admission. Integrating the assessments of these indoor environmental factors into policy frameworks may enhance the effectiveness of long-term care strategies and promote aging.

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来源期刊

Journal of the American Medical Directors Association 医学-老年医学

CiteScore

11.10

自引率

6.60%

发文量

472

审稿时长

44 days

期刊介绍： JAMDA, the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine, is a leading peer-reviewed publication that offers practical information and research geared towards healthcare professionals in the post-acute and long-term care fields. It is also a valuable resource for policy-makers, organizational leaders, educators, and advocates. The journal provides essential information for various healthcare professionals such as medical directors, attending physicians, nurses, consultant pharmacists, geriatric psychiatrists, nurse practitioners, physician assistants, physical and occupational therapists, social workers, and others involved in providing, overseeing, and promoting quality