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首页> 外文期刊>Geriatrics & gerontology international. >Factors associated with changes of care needs level in disabled older adults receiving home medical care: Prospective observational study by Osaka Home Care Registry (OHCARE)
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Factors associated with changes of care needs level in disabled older adults receiving home medical care: Prospective observational study by Osaka Home Care Registry (OHCARE)

机译：与残疾人老年人的护理需求水平变化相关的因素接受家庭医疗保健：大阪家庭护理登记处的前瞻性观察研究（OHCARE）

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Aim To clarify factors associated with changes in care needs level and mortality among disabled older people receiving home medical care over a period of 2.5?years. Methods The study included 179 participants, aged ≥65?years, receiving home medical care, who consented to join the Osaka Home Care Registry study. The main outcome was changes in the care needs level of participants eligible for the long‐term care insurance system. We investigated the association of changes in care needs level with basic characteristics and care‐receiving status. Results At the 2.5‐year follow up, 20.0% of participants showed deteriorated levels, and 41.8% of participants died. In multiple logistic regression, age (odds ratio [OR] 1.10, 95% confidence interval [CI] 1.00–1.21; P = 0.051) and bone joint diseases (OR 0.34, CI 0.09–1.22; P = 0.098) were possible risks associated with deterioration of the care needs level. Male sex (OR 3.28, CI 0.91–11.74; P = 0.068) was a possible risk factor for mortality, and lower serum albumin (OR 0.22, CI 0.07–0.73) was a significant risk factor for mortality. Conclusions We clarified the different factors associated with deterioration of the care needs level and mortality among disabled older people. Old age and bone joint diseases might be predictive factors for the further deterioration of independence of physical activity, and a low serum albumin level is considered to be strongly associated with increased mortality. Geriatr Gerontol Int 2019; 19: 1198–1205 .
机译：旨在澄清残疾人老年人在2.5年内接受家庭医疗保障群体的护理需求水平和死亡率变化的因素。方法该研究包括179名参与者，年龄≥65岁，收到家庭医疗，他同意加入大阪家庭护理登记处研究。主要结果是有资格获得长期护理保险制度的参与者的护理需求水平的变化。我们调查了护理需要的变化与基本特征和护理地位的关系。结果2.5年后，20.0％的参与者表现出恶化的水平，41.8％的参与者死亡。在多元逻辑回归，年龄（差距[或] 1.10,95％置信区间[CI] 1.00-1.21; P = 0.051）和骨关节疾病（或0.34，CI 0.09-1.22; P = 0.098）是相关的劣质需求水平的恶化。男性性（或3.28，CI 0.91-11.74; p = 0.068）是死亡率的可能危险因素，低血清白蛋白（或0.22，CI 0.07-0.73）是死亡率的显着风险因素。结论我们澄清了残疾人老年人在残疾人需求水平和死亡率的恶化相关的不同因素。老年和骨关节疾病可能是对物理活性独立性进一步恶化的预测因素，并且低血清白蛋白水平被认为强烈与死亡率增加相关。 GeriaTr Gerontol int 2019; 19：1198-1205。

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