Nội dung được dịch bởi AI, chỉ mang tính chất tham khảo
Nhu cầu chăm sóc tự nhận thức và chất lượng cuộc sống của người bị suy giảm nhận thức trong quá trình chăm sóc tại nhà: Kết quả nghiên cứu cắt ngang của một nghiên cứu can thiệp
Tóm tắt
Suy giảm nhận thức (CI) là một trong những triệu chứng tàn tật phổ biến nhất ở người cao tuổi, và những người mắc CI đối mặt với nhiều nhu cầu chăm sóc chưa được đáp ứng. Có bằng chứng hạn chế về mối quan hệ giữa những nhu cầu chưa được đáp ứng và chất lượng cuộc sống (QoL) của người bị CI. Mục tiêu của nghiên cứu này là phân tích tình hình hiện tại của những nhu cầu chưa được đáp ứng và QoL của người mắc CI, đồng thời khám phá mối tương quan giữa QoL và các nhu cầu chưa được đáp ứng. Các phân tích sử dụng dữ liệu cơ sở của thử nghiệm can thiệp, trong đó 378 người tham gia được tuyển chọn để hoàn thành bảng câu hỏi bao gồm Đánh giá Nhu cầu cho Người cao tuổi Camberwell (CANE) và Nghiên cứu Kết quả Y tế 36 mục (SF-36). SF-36 cũng được chia thành tóm tắt thành phần thể chất (PCS) và tóm tắt thành phần tâm thần (MCS). Phân tích hồi quy tuyến tính bội phần đã được thực hiện để khám phá tương quan giữa những nhu cầu chăm sóc chưa được đáp ứng và PCS cùng MCS của SF-36. Điểm trung bình của mỗi trong tám lĩnh vực của SF-36 thấp hơn đáng kể so với chuẩn của dân số Trung Quốc. Tỷ lệ nhu cầu chưa được đáp ứng dao động từ 0 đến 65,1%. Kết quả hồi quy tuyến tính bội phần cho thấy rằng việc sống tại vùng nông thôn (Beta=-0,16, P < 0,001), có nhu cầu thể chất chưa được đáp ứng (Beta=-0,35, P < 0,001), và nhu cầu tâm lý chưa được đáp ứng (Beta=-0,24, P < 0,001) có liên quan đến điểm PCS thấp hơn, trong khi thời gian mắc CI lớn hơn 2 năm (Beta=-0,21, P < 0,001), nhu cầu về môi trường chưa được đáp ứng (Beta=-0,20, P < 0,001), và nhu cầu tâm lý chưa được đáp ứng (Beta=-0,15, P < 0,001) có liên quan đến điểm MCS thấp hơn. Các kết quả chính hỗ trợ quan điểm quan trọng rằng điểm QoL thấp hơn có liên quan đến những nhu cầu chưa được đáp ứng ở người mắc CI, tùy thuộc vào lĩnh vực. Với việc những nhu cầu chưa được đáp ứng có thể làm xấu đi QoL hơn nữa, nghiên cứu khuyến nghị rằng cần phải có nhiều chiến lược hơn nữa, đặc biệt là cho những người có nhu cầu chăm sóc chưa được đáp ứng, nhằm cải thiện QoL của họ.
Từ khóa
#suy giảm nhận thức #nhu cầu chăm sóc chưa được đáp ứng #chất lượng cuộc sống #nghiên cứu cắt ngang #người cao tuổiTài liệu tham khảo
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