Institutionalization risk amongst people with dementia supported by family carers in a Scottish city
Autor: | Janice E. Whittick, Kevin McKee, David S. Gordon, W J Mutch, Ian Philp, Brian R. Ballinger, Gillian K. Armstrong, Mary Gilhooly |
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Rok vydání: | 1997 |
Předmět: |
Gerontology
medicine.medical_specialty Institutionalisation Proportional hazards model health care facilities manpower and services Service use social sciences Age and sex medicine.disease humanities Psychiatry and Mental health medicine Dementia Mini-mental state examination score Geriatrics and Gerontology Pshychiatric Mental Health Older people Psychology Family carer Psychiatry |
Zdroj: | Aging & Mental Health. 1:339-345 |
ISSN: | 1364-6915 1360-7863 |
Popis: | We studied 114 community-resident demented older people living at home with the support of a family carer and a matched sample of 114 non-demented older people to determine the factors predictive of institutionalization. We interviewed elders and carers for presence and severity of dementia, characteristics of elder and carer, service use, and carers' perceptions of needs and attitudes to care. Subjects were followed up over a 2-year period. Eleven demented and 10 non-demented elders were lost to follow-up. Forty-nine of 103 demented and 7 of 104 non-demented elders were institutionalized. Demented elders were 8.21 times more likely to be institutionalized than non-demented elders, adjusting for age and sex (95% CI 3.69-18.23). Using Cox's Proportional Hazards Model, factors which predicted institutionalization amongst demented elders were: Mini Mental State Examination Score (RR 0.87, 95% CI 0.80-0.96), carers' perceived problems in relation to the elders' physical disabilities (need for 1-3 hou... |
Databáze: | OpenAIRE |
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