AN ATTEMPT TO DETERMINE THE IMPACT OF GROUP LIVING CARE IN COMPARISON TO TRADITIONAL LONG-TERM-CARE ON DEMENTED ELDERLY PATIENTS

被引：30

作者：

ANNERSTEDT, L

机构：

[1] Department of Community Health Sciences, Lund University, Lund, Malmö

[2] Department of Psychogeriatrics, Lund University, Lund, S-220 09

来源：

AGING-CLINICAL AND EXPERIMENTAL RESEARCH | 1994年 / 6卷 / 05期

关键词：

ADL ABILITY; COGNITIVE DECLINE; DEMENTIA; GROUP LIVING CARE;

D O I：

10.1007/BF03324268

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Group living (GL) care for demented elderly is an established model of care in Sweden. This study analyzes the outcome of care in terms of time of GL care, survival and care load for demented patients when extended home care no longer is considered sufficient. Twenty-eight patients, mean age 83 years, suffering from dementia of Alzheimer type or vascular dementia and previously institutionalized, were relocated from long-term care wards into GL units. These patients were compared to a matched sample of patients remaining in traditional institutional (TI) care. No difference in survival was observed between the two groups after three years, nor between length of stay in GL for the different diagnostic groups. However in patients in GL, symptoms of dementia and functional decline were less prominent than in TI. This was most marked after six months when some improvements in the GL group were registered, The more positive outcome in GL patients abates with time due to the natural course of the diseases. After three years, the two patient groups showed a similar pattern of global deterioration with a tendency toward less care load in the GL group. Offering GL care as an alternative to TI might raise the quality of life in the demented elderly for a period of 2-2.5 years.

引用

页码：372 / 380

页数：9

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