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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >The relation of patient dependence to home health aide use in Alzheimer's disease.
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The relation of patient dependence to home health aide use in Alzheimer's disease.

机译：阿尔茨海默氏病患者依赖与家庭健康助手使用之间的关系。

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BACKGROUND: Although there has been much research devoted to understanding the predictors of nursing home placement (NHP) in Alzheimer's disease (AD) patients, there is currently a lack of research concerning the predictors of home health care. The objective of this study was to examine whether the Dependence Scale can predict home health aide (HHA) use. METHODS: The sample is drawn from the Predictors Study, a large, multicenter cohort of patients with probable AD, prospectively followed annually for up to 7 years in three university-based AD centers in the United States. Markov analyses (n=75) were used to calculate annual transition probabilities for the "new onset" of HHA use (instances where an HHA was absent at the previous visit, but present at the next visit) as a function of HHA presence at the preceding year's visit and dependence level at that preceding year's visit. RESULTS: The dependence level at the previous year's visit was a significant predictor of HHA use at the next year's visit. Three specific items of the Dependence Scale (needing household chores done for oneself, needing to be watched or kept company when awake, and needing to be escorted when outside) were significant predictors of the presence of an HHA. CONCLUSION: The Dependence Scale is a valuable tool for predicting HHA use in AD patients. Obtaining a better understanding of home health care in AD patients may help delay NHP and have a positive impact on the health and well-being of both the caregiver and the patient.
机译：背景：尽管有很多研究致力于了解阿尔茨海默氏病（AD）患者中养老院安置（NHP）的预测因素，但目前仍缺乏有关家庭保健预测因素的研究。这项研究的目的是检查依赖性量表是否可以预测家庭健康助手（HHA）的使用。方法：该样本来自Predictors研究，该研究是一个大型，多中心的可能患有AD的患者队列，每年在美国三个大学基地的AD中​​心进行长达7年的前瞻性随访。马尔可夫分析（n = 75）用于计算HHA使用“新发作”（在上次就诊时没有HHA，但在下一次就诊时出现HHA的情况）的年度过渡概率，作为HHA存在时的函数。前一年的访问量和前一年访问时的依赖程度。结果：前一年就诊时的依赖性水平是次年就诊HHA使用的重要预测指标。依赖性量表的三个具体项目（需要自己做家务，醒着时需要监视或陪伴，以及在外面时需要陪同）是HHA存在的重要预测指标。结论：依赖性量表是预测AD患者HHA使用的有价值的工具。更好地了解AD患者的家庭保健可能有助于延迟NHP，并对护理人员和患者的健康产生积极影响。

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