在提供日常支持和接受日常支持的老年人中,人口统计学和压力是与死亡率相关的风险因素

A. Bregola, A. C. Ottaviani, B. Luchesi, S. Pavarini
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摘要

摘要目的:尽管护理提供者更容易受到伤害,但文献表明,与护理接受者相比,他们的死亡率要低得多。本研究的目的是分析在四年内为日常生活活动(ADL)提供支持的社区老年人(PC组)和接受日常生活活动的老年人(RC组)的死亡率,考虑两组的年龄、性别和学校教育以及PC组的压力的影响。方法:261名老年PC和279名老年RC参与研究。2014年,我们收集了有关人口特征和功能的数据。2018年,第二次联系了参与者,并获得了死亡信息。计算各组的死亡率。结果:在接受支持的人群中,四年内的死亡病例要高得多。PC组死亡率为12.6%,RC组死亡率为31.2%。在已故PC中,69%的患者在基线时表现出高感知压力。大约一半的PC是独立的,而RC组在2014年表现出一些功能依赖性。PC组的危险因素之间没有关联,但女性与RC的死亡率风险略有关联(HR:1.7[95%CI:0.9-3.0])。结论:一些人口统计学特征被认为是老年人群死亡率的危险因素,然而,在这项研究中,这些在提供和接受护理的老年人中没有得到证实。
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Demographics and stress as risk factors associated with mortality in older adults who provide daily support and who receive daily support
ABSTRACT Objective: Despite the greater vulnerability of care providers, the literature shows that their mortality rate is considerably lower compared to care recipients. The aim of the present study was to analyze the mortality rates of community-dwelling older adults who provided support in activities of daily living (ADL) (group PC) and older adults who received in activities of daily living (group RC) in a four-year period considering the effects of age, sex and schooling in both groups and stress in in group PC. Methods: 261 older adults PC and 279 older adults RC participated in the study. In 2014, we collected data on demographic characteristics and functioning. In 2018, the participants were contacted a second time and information on deaths was obtained. The mortality rate was calculated for each group. Results: Death cases in four years were considerably higher among the group who were receiving support. The mortality rate was 12.6% in the PC group and 31.2% in the RC group. In deceased PC, 69% presented with high-perceived stress in baseline. About half of the PC were independent, whereas the RC group exhibited some functional dependence in 2014. There was no association between risk factors in the group PC, however the female sex was marginally associated with the risk of mortality among the RC (HR: 1.7 [95% CI: 0.9-3.0]). Conclusion: Some demographic characteristics have been considered risk factors for the mortality of the old age population, however these were not confirmed in this study among the older adults who provided and received care.
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来源期刊
Jornal Brasileiro de Psiquiatria
Jornal Brasileiro de Psiquiatria Medicine-Psychiatry and Mental Health
CiteScore
1.30
自引率
0.00%
发文量
26
审稿时长
20 weeks
期刊介绍: O Jornal Brasileiro de Psiquiatria se insere em programas de educação continuada e atualização e tem como missão divulgar trabalhos de pesquisa (realizados em instituições brasileiras e estrangeiras) cujos resultados tenham potencial para a investigação e prática clínica no campo da Psiquiatria. Criado em 1938, foi publicado até 1950, sob o título “Anais do Instituto de Psiquiatria”, sem periodicidade regular.
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