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首页> 外文期刊>Geriatrics & gerontology international. >Cross-sectional and longitudinal associations of functional and health status with institutional care use: Results from the survey of health and living status of the elderly in Taiwan
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Cross-sectional and longitudinal associations of functional and health status with institutional care use: Results from the survey of health and living status of the elderly in Taiwan

机译：功能和健康状况与机构护理的横断面和纵向联系：台湾老年人健康和生活状况的调查结果

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Aim: This study evaluated the cross-sectional and longitudinal associations of functional and health status with institutional care, and examined determinants of institutional care use over time. Methods: Data of this study were obtained from the Survey of Health and Living Status of the Elderly in Taiwan (SHLSET), which was launched in 1989 and involved a nationally representative sample of nearly-old and old Taiwanese. The baseline data in this present study were collected in 1999, and followed in 2003 and 2007. Results: Participants with institutional care use had a higher activities of daily living (ADL) score, more self-reported diseases and poorer self-reported health status than participants without institutional care use (all P<0.05). Cross-sectional analysis showed that a higher ADL score, having heart diseases and having a stroke were positively associated with institutional care use (P<0.05); whereas the number of self-reported diseases and poor self-reported health status were not associated with institutional care use. Longitudinal analysis showed that increased ADL scores and the number of self-reported diseases over 4- and 8 years were associated with an increased likelihood of subsequent institutional care use (all P<0.05). Worsening health status over 4 years was associated with an increased likelihood of subsequent institutional care use, but this association did not exist over 8 years. Conclusions: Only ADL and ADL deterioration over time are cross-sectionally and longitudinally associated with increased institutional care use. Declining functional status is a major determinant of institutional care use for Taiwanese aged over 53 years. Geriatr Gerontol Int 2013; 13: 597-606.
机译：目的：本研究评估了功能和健康状况与机构护理的横断面和纵向关联，并研究了机构护理随时间推移的决定因素。方法：本研究的数据来自于1989年启动的“台湾老年人健康和生活状况调查”（SHLSET），该调查涉及具有全国代表性的近老台湾老人。本研究的基线数据收集于1999年，随后分别于2003年和2007年收集。结果：使用机构护理的参与者的日常生活活动（ADL）评分较高，自我报告的疾病较多，自我报告的健康状况较差比没有机构护理的参与者（所有P <0.05）。横断面分析显示，ADL分数较高，患有心脏病和中风与机构护理使用呈正相关（P <0.05）;自我报告的疾病数量和自我报告的健康状况较差与机构护理的使用无关。纵向分析显示，在4年和8年中，ADL分数的增加和自我报告疾病的数量与随后的机构护理使用的可能性增加相关（所有P <0.05）。超过4年的健康状况恶化与随后使用机构护理的可能性增加有关，但这种关联在8年内不存在。结论：仅随着时间的推移，ADL和ADL的恶化与增加的机构护理使用有关。功能状态的下降是53岁以上台湾人使用机构护理的主要决定因素。 Geriatr Gerontol Int 2013; 13：597-606。

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