Prevalence and correlates of hearing and visual impairments in European nursing homes: results from the SHELTER study
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu časopisecké články, práce podpořená grantem
PubMed
24984787
DOI
10.1016/j.jamda.2014.05.012
PII: S1525-8610(14)00338-7
Knihovny.cz E-zdroje
- Klíčová slova
- Older people, dual sensory impairment, frailty, nursing home,
- MeSH
- deprese epidemiologie MeSH
- kognitivní poruchy epidemiologie MeSH
- lidé MeSH
- pečovatelské domovy * MeSH
- poruchy sluchu epidemiologie MeSH
- poruchy zraku epidemiologie MeSH
- posuzování pracovní neschopnosti MeSH
- prevalence MeSH
- průřezové studie MeSH
- rizikové faktory MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Evropa epidemiologie MeSH
BACKGROUND: Visual and hearing impairments are known to be related to functional disability, cognitive impairment, and depression in community-dwelling older people. The aim of this study was to examine the prevalence of sensory impairment in nursing home residents, and whether sensory impairment is related to other common clinical problems in nursing homes, mediated by functional disability, cognitive impairment, and depressive symptoms. METHODS: Cross-sectional data of 4007 nursing home residents in 59 facilities in 8 countries from the SHELTER study were analyzed. Visual and hearing impairments were assessed by trained staff using the interRAI instrument for Long-Term Care Facilities. Generalized linear mixed models adjusted for functional disability, cognitive impairment, and depressive symptoms were used to analyze associations of sensory impairments with prevalence of clinical problems, including behavioral symptoms, incontinence, fatigue, falls, problems with balance, sleep, nutrition, and communication. RESULTS: Of the participants, 32% had vision or hearing impairment (single impairment) and another 32% had both vision and hearing impairments (dual impairment). Residents with single impairment had significantly higher rates of communication problems, fatigue, balance problems, and sleep problems, as compared with residents without any sensory impairment. Those with dual impairment had significantly higher rates of all clinical problems assessed in this study as compared with those without sensory impairment. For each clinical problem, the magnitude of the odds ratio for specific clinical problems was higher for dual impairment than for single impairment. CONCLUSION: Visual and hearing impairments are associated with higher rates of common clinical problems among nursing home residents, independent of functional disability, cognitive impairment, and depressive symptoms.
AGAPLESION Bethesda Clinic Competence Centre of Geriatrics University of Ulm Ulm Germany
Centre for Standards in Health and Disability Research Authority University of Haifa Haifa Israel
Centro Medicina dell'Invecchiamento Università Cattolica Sacro Cuore Rome Italy
Department of Geriatrics 1st Faculty of Medicine Charles University Prague Czech Republic
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