دانلود مقاله ISI انگلیسی شماره 73899
عنوان فارسی مقاله

تاثیر شکنندگی بر شدت مراقبت در افراد مسن دارای ناتوانی ذهنی

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
73899 2014 7 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
The impact of frailty on care intensity in older people with intellectual disabilities
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Research in Developmental Disabilities, Volume 35, Issue 12, December 2014, Pages 3455–3461

کلمات کلیدی
افراد با شناسه؛ شکنندگی؛ شاخص شکنندگی؛ شدت مراقبت
پیش نمایش مقاله
پیش نمایش مقاله تاثیر شکنندگی بر شدت مراقبت در افراد مسن دارای ناتوانی ذهنی

چکیده انگلیسی

Frailty appears to develop earlier and is more severe in people with intellectual disabilities compared to the general population. The high prevalence of frailty may lead to an increase in care intensity and associated health care costs. Therefore a longitudinal observational study was conducted to determine the effect of frailty on care intensity. The association between frailty and care intensity at baseline and follow-up (3 years later) was assessed. Furthermore, the ability of the frailty index to predict an increase in care intensity after 3 years was evaluated. This study was part of the Dutch ‘Healthy aging and intellectual disabilities’ (HA-ID) study. Frailty was measured at baseline with a frailty index that included 51 health-and age-related deficits. For all participants information on care intensity in seven steps was available, based on long term care indications under the Act on Exceptional Medical Expenses (AWBZ) – a law that finances specialized long-term care. 676 participants (50 years and over) with ID were included in the final analysis. In 26% of the participants, care intensity had increased during the follow-up period. Increased care during the follow-up was related to a high frailty index score at baseline, independent of gender, age, level of ID and the presence of Down syndrome (p = 0.003). After exclusion of ADL and IADL items, the frailty index remained significantly related with increasing care intensity during follow-up (p = 0.007). Our results underline that screening instruments for early detection of frailty and effective interventions are required to limit the burden of frailty for individuals and caregivers, but also to limit health care utilization.

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پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.