More Americans depending on age idiot Increasing is also a risk of being trapped at home.
This represents access to the treatment problem that the elderly and their families, as well as the health care system, can successfully provide services to the patient. There are home -based primary care and community programs that reach an individual in a house with dementia demand It is much better for them to supply.
Therefore, there is an incentive to better understand what factors contribute to being trapped in the house for those who are suffering from dementia, such as age and socioeconomic status.
Recent study
ICAHN School of Medicine, Johns Hopkins University School of Medicine Public Health’s collaborator study Investigate the factors that contribute to the newly diagnosed dementia.
The author has more than 939 cohorts over 65 years old. National Health and Aging Trends Research (NHATS) From 2011 to 2018, the participants were classified as home bounds (not leaving home or rarely left) or non -home bounds based on their own and surrogate reports.
The researchers performed two different analysis to investigate the factors that contribute to the hometown of individuals with dementia. First, they used Kai-square and students tea Test to investigate the difference between home hold and non -home bounds when it is first diagnosed as dementia. The participants followed the central value of four years after the initial participation to identify the changes in the home widely over time.
The author also used a fine gray sub -distribution risk model to identify factors that contributed to the groove over time among people who were not grooves when they were first diagnosed with dementia.
result
The authors found that about 20 %of the nation’s representative samples were trapped in their homes at the time of dementia. In addition, this hometown was Hispanic, with low Medicaid and income, and more chronic and depressed than non -home bounds.
Those who were trapped in the house also needed more help in everyday life (eg, dining, dressing), and they were more likely to get more time from caregivers per week. The group was more likely to be paid more than an individual, not a non -taxi, living in auxiliary living facilities, and living in a large city area.
Looking at the non-home bound individual at the time of the diagnosis of dementia, 8-11 % of them were trapped in the house between 2011 and 2018. The author has found that individuals living in living assistants and Hispanic people are likely to be their hometown.
conclusion
The investigator admitted some limitations of this study. First, the state of the groove can be fluid, and the annual simple evaluation may not capture its fluidity. In addition, research on national health and aging trend definition Since it is not the same as the clinical assessment of dementia, some cohort participants may have had more temporary cognitive impairment instead.
Research shows that most individuals newly diagnosed with dementia are non -home bounds, but they can be hometown over time, which is increasing from auxiliary living facilities or from Hispanic. These results emphasize the need to investigate how living facilities meet the needs of those who have been diagnosed with dementia. In addition, further studies are needed to identify options for other groups’ preferences and cultural sensitive treatment.
In general, identifying factors that contribute to being trapped in the house for a newly diagnosed individual with dementia are the first steps to prevent or reduce this phenomenon.
