患有认知障碍和痴呆症的高龄初级保健患者已满足和未满足的护理需求概况--AgeCoDe 和 AgeQualiDe 研究的结果。

IF 2.2 4区 医学 Q3 CLINICAL NEUROLOGY Dementia and Geriatric Cognitive Disorders Pub Date : 2024-08-29 DOI:10.1159/000541118
Sophia Kraake, Alexander Pabst, Horst Bickel, Michael Pentzek, Angela Fuchs, Birgitt Wiese, Anke Oey, Hans-Helmut König, Christian Brettschneider, Martin Scherer, Tina Mallon, Dagmar Lühmann, Wolfgang Maier, Michael Wagner, Kathrin Heser, Siegfried Weyerer, Jochen Werle, Steffi G Riedel-Heller, Janine Stein
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引用次数: 0

摘要

导言:随着高龄人口的增加,MCI 和痴呆症的发病率也在不断上升,因此需要对他们的护理需求有细致入微的了解。很少有研究对患有 MCI 或痴呆症的高龄患者的需求概况进行调查。因此,本研究旨在确定患者的需求概况:数据分析包括来自多中心队列 AgeQualiDe 研究 "大样本高龄初级保健患者[85 岁以上]的需求、医疗服务使用、成本和健康相关生活质量 "的 N = 716 名 85 岁以上无认知障碍的初级保健患者(n = 575)、MCI 患者(n = 97)和痴呆患者(n = 44)的横断面基线数据。使用坎伯韦尔老年人需求评估(CANE)对患者的需求进行了评估,并通过潜类分析确定了需求特征。多项式逻辑回归分析了 MCI 和痴呆症与需求特征的关系,并对社会人口因素、社会网络(卢本社会网络量表 LSNS-6)和虚弱程度(临床虚弱程度量表 CSHA-CFS)进行了调整:结果显示有三种情况:无需求"、"身体和环境需求得到满足 "以及 "身体和环境需求未得到满足"。MCI 与满足和未满足的物质和环境需求相关;痴呆症与未满足的物质和环境需求相关。没有 MCI 或痴呆症的患者拥有更大的社交网络(LSNS-6)。体弱与痴呆症有关:综合护理应满足最年长者的需求,并支持 MCI 或痴呆症患者的社交网络。评估虚弱程度有助于临床医生识别最脆弱的患者,并为认知障碍制定有益的干预措施。
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Profiles of Met and Unmet Care Needs in the Oldest Old Primary Care Patients with Cognitive Disorders and Dementia: Results of the AgeCoDe and AgeQualiDe Study.

Introduction: The prevalence of mild cognitive impairment (MCI) and dementia is increasing as the oldest old population grows, requiring a nuanced understanding of their care needs. Few studies have examined need profiles of oldest old patients with MCI or dementia. Therefore, this study aimed to identify patients' need profiles.

Methods: The data analysis included cross-sectional baseline data from N = 716 primary care patients without cognitive impairment (n = 575), with MCI (n = 97), and with dementia (n = 44) aged 85+ years from the multicenter cohort AgeQualiDe study "needs, health service use, costs and health-related quality of life in a large sample of oldest old primary care patients [85+]". Patients' needs were assessed using the Camberwell Assessment of Needs for the Elderly (CANE), and latent class analysis identified need profiles. Multinomial logistic regression analyzed the association of MCI and dementia with need profiles, adjusting for sociodemographic factors, social network (Lubben Social Network Scale [LSNS-6]), and frailty (Canadian Study of Health and Aging-Clinical Frailty Scale [CSHA-CFS]).

Results: Results indicated three profiles: "no needs," "met physical and environmental needs," and "unmet physical and environmental needs." MCI was associated with the met and unmet physical and environmental needs profiles; dementia was associated with the unmet physical and environmental needs profile. Patients without MCI or dementia had larger social networks (LSNS-6). Frailty was associated with dementia.

Conclusions: Integrated care should address the needs of the oldest old and support social networks for people with MCI or dementia. Assessing frailty can help clinicians to identify the most vulnerable patients and develop beneficial interventions for cognitive disorders.

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来源期刊
CiteScore
4.70
自引率
0.00%
发文量
46
审稿时长
2 months
期刊介绍: As a unique forum devoted exclusively to the study of cognitive dysfunction, ''Dementia and Geriatric Cognitive Disorders'' concentrates on Alzheimer’s and Parkinson’s disease, Huntington’s chorea and other neurodegenerative diseases. The journal draws from diverse related research disciplines such as psychogeriatrics, neuropsychology, clinical neurology, morphology, physiology, genetic molecular biology, pathology, biochemistry, immunology, pharmacology and pharmaceutics. Strong emphasis is placed on the publication of research findings from animal studies which are complemented by clinical and therapeutic experience to give an overall appreciation of the field.
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