教師資料查詢 | 類別: 期刊論文 | 教師: 王彥雯 WANG, CHARLOTTE (瀏覽個人網頁)

標題:Shared Risk Factors for Distinct Geriatric Syndromes in Older Taiwanese Inpatients.
學年99
學期1
出版(發表)日期2010/09/01
作品名稱Shared Risk Factors for Distinct Geriatric Syndromes in Older Taiwanese Inpatients.
作品名稱(其他語言)
著者Cheryl Chia-Hui Chen; Yu-Tzu Dai; Chung-Jen Yen; Guan-Hua Huang; Charlotte Wang
單位
出版者
著錄名稱、卷期、頁數Nursing Research 59(5), pp.340-347
摘要Background: Identifying shared common risk factors of geriatric syndromes is clinically useful in designing a unified approach to optimizing geriatric care.

Objectives: The purpose of this study was to identify older Taiwanese inpatients' common shared risk factors among seven distinct geriatric syndromes: malnutrition, depression, cognitive impairment, functional dependence, incontinence, pressure ulcers, and dehydration.

Method: A cross-sectional, hospital-wide survey was conducted to enroll inpatients (N = 455) older than 65 years and admitted to 24 medical and surgical units in a 2,200-bed urban academic medical center in northern Taiwan. Malnutrition was defined as a Mini-Nutritional Assessment score less than 17.5, depression was defined as a Geriatric Depression Scale score more than 10, cognitive impairment was considered a Mini-Mental State Examination score less than 20, and functional dependence was defined as a Barthel Index score less than 50. Incontinence, pressure ulcers, and dehydration were extracted from patients' medical records.

Results: Participants had a mean age of 75.3 years (SD = 6.1 years, range = 65-92 years). The prevalence of geriatric syndromes ranged from 5% (pressure ulcers) to 33% (malnutrition). The selected geriatric syndromes were shown through logistic regression analysis to be predicted by female gender (odds ratio [OR] = 1.57-2.75), functional status (OR = 0.94-0.99), cognitive status (OR = 0.82-0.95), nutritional status (OR = 0.74-0.93), and depressive symptoms (OR = 1.07-1.26), supporting the notion of shared risk factors in geriatric syndromes.

Conclusions: The findings support the theory that common geriatric syndromes have a shared set of risk factors-female gender, depressive symptoms, and functional, cognitive, and nutritional status. Revising care to target these shared risk factors in preventing common geriatric syndromes is theoretically sound.
關鍵字
語言英文(美國)
ISSN0029-6562;1538-9847
期刊性質國外
收錄於SCI;
產學合作
通訊作者
審稿制度
國別美國
公開徵稿
出版型式,電子版,紙本
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