Physical and Emotional Status of Nursing Home Residents: Long-term Care of Older People via Incheon Nursing Home Network (LOVE) Study |
Hee Jin Hwang, Kyung Yeon Lee, Sang Hwan Kim |
1Department of Family Medicine, Kwandong University College of Medicine, Goyang, Korea. fanink@naver.com 2Geriatric Center, Myongji Hospital, Goyang, Korea. 3Depertment of Geriatric Medicine, Incheon Sarang Hospital, Incheon, Korea. |
요양시설 입소 노인들의 신체 및 감정 상태 |
황희진1,2,이경연3,김상환1,2 |
관동대학교 의과대학 가정의학교실1, 명지병원 노인의학센터2, 인천사랑병원 노인의학과3 |
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Abstract |
BACKGROUND The aim of the Long-term Care of Older People via Incheon Nursing Home Network (LOVE) study was to evaluate disease status and its association with physical activity and emotional status among the elderly in nursing homes. METHODS This retrospective study included 1,379 nursing home residents aged 65 years and older, of which 260 were excluded due to lack of baseline information. Data regarding major diseases from 1,119 people were analyzed to compare prevalence according to age. Data about physical function and emotional status on admission from 497 residents were analyzed looking for contributing factors to limited function and unstable emotion. RESULTS Hypertension was the most common ailment at 58.6% of the total followed by dementia (50.6%), stroke (28.7%), and diabetes (24.2%). Prevalence of diabetes (p<0.001) and stroke (p<0.001) were relatively low in the older age groups but that of osteoarthritis (p<0.001) and dementia (p=0.001) were relatively high. After adjusting for age and sex, limited physical activity was more frequent in those with strokes (odds ratio [OR], 3.7 [2.1-6.2], p<0.001) and fractures (OR, 2.1 [1.1-4.1], p=0.023). Unstable emotion was more frequent in residents with dementia (OR, 1.9 [1.3-2.8], p=0.001). CONCLUSION The most common diseases among nursing home residents, in decreasing order, were hypertension, dementia, stroke, and diabetes. Diseases related to the need for physical aids were strokes and fractures. Effective strategies for the management of unstable emotional status in the elderly with dementia are needed. |
Key Words:
Nursing homes, Aged, Physical activity, Disease status, Emotions |
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