干旱区生态环境知识资源中心(Arid): A Description of Persons With Alzheimer Disease and Related Dementias Receiving Home Health Care A National Analysis

Arid

DOI	10.1097/NJH.0000000000000904
	A Description of Persons With Alzheimer Disease and Related Dementias Receiving Home Health Care A National Analysis
	Osakwe, Zainab Toteh; Obioha, Chinedu U.; Muller, Kirsten; Saint Fleur-Calixte, Rose
通讯作者	Osakwe, ZT
来源期刊	JOURNAL OF HOSPICE & PALLIATIVE NURSING
ISSN	1522-2179
EISSN	1539-0705
出版年	2022
卷号	24 期号:6 页码:312-320
英文摘要	The end-of-life period of individuals with Alzheimer disease and related dementias receiving home health care (HHC) is understudied. We sought to describe characteristics of HHC patients with Alzheimer disease and related dementias at risk of death within a year, based on clinician assessment. We conducted a secondary data analysis of a 5% random sample of the Outcome and Assessment Information Set data set for the year 2017. We used Outcome and Assessment Information Set-C item M1034 to identify HHC patients with overall status of progressive condition leading to death within a year. Multivariable logistic regression model was used to examine the association between sociodemographic, functional, clinical, and caregiving factors and likelihood of decline leading to death within a year, as identified by HHC clinicians. Clinician perception of decline leading to death within a year was higher for Whites (vs Blacks or Hispanics) (odds ratio [OR], 0.74 [95% confidence interval (CI), 0.69-0.80], and OR, 0.63 [95% CI, 0.57-0.69], respectively). Factors associated with increased odds of decline leading to death within a year included daily pain (OR, 1.11 [95% CI, 1.06-1.17]), anxiety daily or more often (OR, 1.58 [95% CI, 1.49-1.67]), shortness of breath (OR, 1.45 [95% CI, 1.34-1.57]), use of oxygen (OR, 1.60 [95% CI, 1.52-1.69]), disruptive behavior (OR, 1.26 [95% CI, 1.20-1.31]), and feeding difficulty (OR, 2.25 [95% CI, 2.09-2.43]). High symptom burden exists among HHC patients with Alzheimer disease and related dementias identified to have a status of decline leading to death within a year.
英文关键词	dementia end of life home health care older adults Outcome and Assessment Information Set (OASIS)
类型	Article
语种	英语
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000872714300015
WOS关键词	VALIDITY ; RACE
WOS类目	Nursing
WOS研究方向	Nursing
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/393471
推荐引用方式 GB/T 7714	Osakwe, Zainab Toteh,Obioha, Chinedu U.,Muller, Kirsten,et al. A Description of Persons With Alzheimer Disease and Related Dementias Receiving Home Health Care A National Analysis[J],2022,24(6):312-320.
APA	Osakwe, Zainab Toteh,Obioha, Chinedu U.,Muller, Kirsten,&Saint Fleur-Calixte, Rose.(2022).A Description of Persons With Alzheimer Disease and Related Dementias Receiving Home Health Care A National Analysis.JOURNAL OF HOSPICE & PALLIATIVE NURSING,24(6),312-320.
MLA	Osakwe, Zainab Toteh,et al."A Description of Persons With Alzheimer Disease and Related Dementias Receiving Home Health Care A National Analysis".JOURNAL OF HOSPICE & PALLIATIVE NURSING 24.6(2022):312-320.