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Risk factors for nursing home admission among older adults: Analysis of basic movements and activities of daily living
This retrospective study aimed to clarify the risk of older adults’ nursing home placement in terms of basic movements and activities of daily living (ADLs) by analyzing data from a long-term care insurance certification survey in 2016‒2018 in City A. Of the 21,520 people certified as needing care,...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9882900/ https://www.ncbi.nlm.nih.gov/pubmed/36706104 http://dx.doi.org/10.1371/journal.pone.0279312 |
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author | Sagari, Akira Tabira, Takayuki Maruta, Michio Tanaka, Koji Iso, Naoki Okabe, Takuhiro Han, Gwanghee Kawagoe, Masahiro |
author_facet | Sagari, Akira Tabira, Takayuki Maruta, Michio Tanaka, Koji Iso, Naoki Okabe, Takuhiro Han, Gwanghee Kawagoe, Masahiro |
author_sort | Sagari, Akira |
collection | PubMed |
description | This retrospective study aimed to clarify the risk of older adults’ nursing home placement in terms of basic movements and activities of daily living (ADLs) by analyzing data from a long-term care insurance certification survey in 2016‒2018 in City A. Of the 21,520 people certified as needing care, 16,865 could be followed up until 2018. Data on sex, age, household structure, and level of care required were obtained. Those who lived at home and at nursing homes were categorized as the “Unchanged group” and the “Changed group,” respectively. Multivariate binomial logistic regression analysis was performed, with group type as the dependent variable and basic movement and ADL scores as the independent variables. For factor analysis according to care level, participants were classified into support need levels 1 and 2, care need levels 1 and 2, and care need levels 3, 4, and 5. For those categorized into support need levels 1 and 2, standing on one leg and transferring (basic movements) and urination and face cleaning (ADLs) were associated with nursing home placement. For those in care need levels 1 and 2, getting up and transferring (basic movements) and bathing, urination, face cleaning, and hair styling (ADL) were significantly associated with nursing home placement. For those in care need levels 3, 4, and 5, sitting and transferring (basic movements) and self-feeding and defecation (ADL) were significant. Occupational therapists must focus on older adults’ declining ADLs and basic movements and relay the necessary information to patients, families, and other healthcare professionals to ensure appropriate and prompt care delivery. |
format | Online Article Text |
id | pubmed-9882900 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-98829002023-01-28 Risk factors for nursing home admission among older adults: Analysis of basic movements and activities of daily living Sagari, Akira Tabira, Takayuki Maruta, Michio Tanaka, Koji Iso, Naoki Okabe, Takuhiro Han, Gwanghee Kawagoe, Masahiro PLoS One Research Article This retrospective study aimed to clarify the risk of older adults’ nursing home placement in terms of basic movements and activities of daily living (ADLs) by analyzing data from a long-term care insurance certification survey in 2016‒2018 in City A. Of the 21,520 people certified as needing care, 16,865 could be followed up until 2018. Data on sex, age, household structure, and level of care required were obtained. Those who lived at home and at nursing homes were categorized as the “Unchanged group” and the “Changed group,” respectively. Multivariate binomial logistic regression analysis was performed, with group type as the dependent variable and basic movement and ADL scores as the independent variables. For factor analysis according to care level, participants were classified into support need levels 1 and 2, care need levels 1 and 2, and care need levels 3, 4, and 5. For those categorized into support need levels 1 and 2, standing on one leg and transferring (basic movements) and urination and face cleaning (ADLs) were associated with nursing home placement. For those in care need levels 1 and 2, getting up and transferring (basic movements) and bathing, urination, face cleaning, and hair styling (ADL) were significantly associated with nursing home placement. For those in care need levels 3, 4, and 5, sitting and transferring (basic movements) and self-feeding and defecation (ADL) were significant. Occupational therapists must focus on older adults’ declining ADLs and basic movements and relay the necessary information to patients, families, and other healthcare professionals to ensure appropriate and prompt care delivery. Public Library of Science 2023-01-27 /pmc/articles/PMC9882900/ /pubmed/36706104 http://dx.doi.org/10.1371/journal.pone.0279312 Text en © 2023 Sagari et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Sagari, Akira Tabira, Takayuki Maruta, Michio Tanaka, Koji Iso, Naoki Okabe, Takuhiro Han, Gwanghee Kawagoe, Masahiro Risk factors for nursing home admission among older adults: Analysis of basic movements and activities of daily living |
title | Risk factors for nursing home admission among older adults: Analysis of basic movements and activities of daily living |
title_full | Risk factors for nursing home admission among older adults: Analysis of basic movements and activities of daily living |
title_fullStr | Risk factors for nursing home admission among older adults: Analysis of basic movements and activities of daily living |
title_full_unstemmed | Risk factors for nursing home admission among older adults: Analysis of basic movements and activities of daily living |
title_short | Risk factors for nursing home admission among older adults: Analysis of basic movements and activities of daily living |
title_sort | risk factors for nursing home admission among older adults: analysis of basic movements and activities of daily living |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9882900/ https://www.ncbi.nlm.nih.gov/pubmed/36706104 http://dx.doi.org/10.1371/journal.pone.0279312 |
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