作者:Rachel A. Pruchno、Miriam S. Rose
DOI:10.1093/geront/40.4.422
日期:2000.8.1
This study contrasts rates of mortality and of relocation to higher levels of care as well as trajectories of cognitive status, functional ability, depression, and subjective health of residents of an assisted living facility with those of a nursing home. Data were collected from medical records and face-to-face interviews with 158 residents at baseline and 4, 8, and 12 months later. All participants lived on a single long-term care campus. Logistic regression revealed that facility was not a significant predictor of mortality or relocations due to declining health. A repeated measures analysis of variance found that outcomes for people living in the two facilities did not change at different rates. These consistent findings suggest that although the assisted living and nursing home environments claim to have different philosophies of care, health outcome patterns for people living in the two environments were similar.
本研究对比了生活辅助设施和疗养院居民的死亡率、转入更高护理级别的比率以及认知状态、功能能力、抑郁和主观健康状况的变化轨迹。研究人员从医疗记录中收集数据,并在基线期和 4、8、12 个月后对 158 名居民进行了面对面访谈。所有参与者都住在一个长期护理园区内。逻辑回归结果显示,设施并不是预测死亡率或因健康状况下降而搬迁的重要因素。重复测量方差分析发现,居住在两种设施中的人的结果变化率并无不同。这些一致的研究结果表明,尽管辅助生活环境和养老院环境声称具有不同的护理理念,但生活在这两种环境中的人的健康结果模式是相似的。