Unmet needs of activities of daily living among a community-based sample of disabled elderly people in Eastern China: a cross-sectional study

Shen, Chen; Jin, Zheng; Chen, Chen; Xing, Ying; Cui, Yan; Ding, Yaping; Liu, Xiuyun

doi:10.1186/s12877-018-0856-6

Cited by 49 publications

(62 citation statements)

References 34 publications

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“…The reason may come from that many older Chinese people with dementia prefer to live in their own homes rather than live in nursing homes. We also found that the proportion of participants who had at least a high school education, was higher than the percentage of 39.2% that had been found in previous studies carried out in community-based samples [30].…”

Section: Discussioncontrasting

confidence: 68%

Prevalence and risk factors of dysphagia among nursing home residents in eastern China: a cross-sectional study

et al. 2020

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Background Dysphagia is a common health care problem and poses significant risks including mortality and hospitalization. China has many unsolved long-term care problems, as it is a developing country with the largest ageing population in the world. The present study aimed to identify the prevalence and risk factors of dysphagia among nursing home residents in China to direct caregivers towards preventative and corrective actions. Methods Data were collected from 18 public or private nursing homes in 9 districts of Nanjing, China. A total of 775 older adults (aged 60 ~ 105 years old; 60.6% female) were recruited. Each participant underwent a standardized face-to-face interview by at least 2 investigators. The presence of risk of dysphagia was assessed using the Chinese version of the EAT-10 scale. The Barthel Index (BI) was used to evaluate functional status. Additionally, demographic and health-related characteristics were collected from the participants and their medical files. Univariate analyses were first used to find out candidate risk factors, followed by binary logistic regression analyses to determine reliable impact factors after adjusting for confounders. Results Out of 775 older adults, the prevalence of dysphagia risk was calculated to be 31.1%. A total of 85.0% of the older adults reported at least one chronic disease, and diseases with the highest prevalence were hypertension (49.5%), stroke (40.4%), diabetes (25.5%) and dementia (18.2%). Approximately 11.9% of participants received tube feeding. The mean BI score was 56.2 (SD = 38.3). Risk factors for dysphagia were texture of diet (OR = 2.978, p ≤ 0.01), BI level (OR = 1.418, p ≤ 0.01), history of aspiration, pneumonia and heart attack (OR = 22.962, 4.909, 3.804, respectively, p ≤ 0.01), types of oral medication (OR = 1.723, p ≤ 0.05) and Parkinson disease (OR = 2.566, p ≤ 0.05). Conclusions A serious risk of dysphagia was observed among Chinese nursing home residents. Overall, nursing home residents were moderately dependent, according to the BI level. The risk for dysphagia increased with thinner diet texture, worse functional status, history of aspiration, pneumonia and heart attack, more oral medications and Parkinson disease. The findings of our study may serve to urge nursing home staff to pay more attention to the swallowing function of all residents and to take more actions in advance to prevent or reduce dysphagia.

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Section: Discussioncontrasting

confidence: 68%

Prevalence and risk factors of dysphagia among nursing home residents in eastern China: a cross-sectional study

et al. 2020

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“…Moreover, to deal with an aging society, it is necessary to establish a long-term care service system medical security system to formulate relevant policies and meet the basic life demand of the elderly [30]. Hence, this pictorial-based Longshi scale would be of great signi cance especially for the elderly disabled with complications.…”

Section: Discussionmentioning

confidence: 99%

A Novel Longshi Scale Measured Activity of Daily Living Disability in Elderly Patients Affected by Neurological Diseases: a Multi-center Cohort Study in China

Zhao

Gao

et al. 2020

Preprint

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Background: The activity of daily life (ADL) ability is often impaired in the elderly patients with neurological diseases. Barthel index (BI) is a global disability scale which can assess the performance of ADL for old people. The Longshi scale is a novel pictorial-based scale for evaluating a patient’s disability, but few studies assess the elderly patients. Hence, the aim of this study was to determine whether Longshi scale can distinguish the ADL level of the elderly people and investigate the relationship between the Longshi scale and BI in measuring ADL among the elderly disabled. Methods: This was a multi-center cross-sectional study of elderly disabled patients (more than 65 years old). The ADL levels of all patients were evaluated by both Longshi scale and BI. Patients were divided into three groups (Bedridden group, Domestic group, Community group) based on the Longshi scale, while there were four groups (slight dependence, moderate dependence, severe dependence, total dependence) according to different BI scores. The relationship between the scores of Longshi scale and BI at different level were analysed. Results: A total of 2438 consecutive patients were recruited into the study from 9 centers during a period of 6 months (from 1 Oct 2019 to 1 April 2020). There was a significant difference of the total BI scores between the three groups of Longshi scale (p<0.001). Moreover, the Longshi scale scores showed significant differences between the four BI groups in the bedridden group, domestic group and community group of Longshi scale (p<0.001), respectively. Furthermore, the Spearman correlation coefficients between the LS scores of three groups (bedridden, domestic and community group) and BI scores were 0.869, 0.848 and 0.828 (P<0.001, respectively). Conclusions: Longshi scale can efficiently distinguish the degree of ability of daily living activities among the elderly disabled and has positive correlations with the BI.

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“…The present study demonstrated that older residents of both the two ethnic groups can mostly perform their ADL items independently, but Yi older subjects showed greater dependency in IADL functioning. Functional dependency has been revealed to be associated with lack of healthcare, isolation, low income, experiencing fall, depression, and frequency of outdoor activities [27]. The IADL items comprise the capabilities of utilizing the telephone, preparing meals, shopping, doing laundry, taking medication, and managing finances, etc.…”

Section: Discussionmentioning

confidence: 99%

Comparison of health-related quality of life between the Han and Yi ethnicity elderly in the Yi autonomous areas of Yunnan Province

Ran

Kong

et al. 2019

BMC Geriatr

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BackgroundThe purpose of this research was to assess the health-related quality of life (HRQOL) and functional abilities of Yi and Han elderly who resided in Yi Autonomous prefecture or Counties in Yunnan Province, as well as to compare their differences in HRQOL, functional abilities and other factors.MethodsA total of 1636 older subjects, which included 863 Han and 773 Yi, were recruited from 10 Yi Autonomous regions. Their HRQOL and functional capabilities were assessed by the MOS 36-Item Short Form Health Survey (SF-36), activities of daily living (ADL), and instrumental activities of daily living (IADL) scales.ResultsThe Han elderly performed better in every domain of SF-36 than the Yi elderly. Both of the two ethnic groups could perform their ADL independently but the Yi elderly showed greater dependency in IADL abilities. The HRQOL was positively associated with their ADL, IADL, and education levels. Moreover, age, health insurance status, and living arrangement were negatively correlated with HRQOL.ConclusionThe HRQOL and IADL capabilities of the Han elderly were higher than that of the Yi counterparts in the Yi Autonomous regions. The HRQOL of both the two ethnic groups was positively connected with ADL, IADL abilities as well as education levels, whereas it was negatively correlated with age and health insurance. The elderly-care policy on the Yi autonomous areas should focus more on the HRQOL, ADL improvement, education background, age needs, and health insurance, etc.

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Unmet needs of activities of daily living among a community-based sample of disabled elderly people in Eastern China: a cross-sectional study

Cited by 49 publications

References 34 publications

Prevalence and risk factors of dysphagia among nursing home residents in eastern China: a cross-sectional study

Prevalence and risk factors of dysphagia among nursing home residents in eastern China: a cross-sectional study

A Novel Longshi Scale Measured Activity of Daily Living Disability in Elderly Patients Affected by Neurological Diseases: a Multi-center Cohort Study in China

Comparison of health-related quality of life between the Han and Yi ethnicity elderly in the Yi autonomous areas of Yunnan Province

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