Activities of daily living trajectories among institutionalised older adults: A prospective study
Aims and objectives To examine activities of daily living trajectory groups among older residents in Taiwan, and to determine the relative risks of demographic characteristics and health status in explaining the trajectory group of activities of daily living. Background Activity of daily living is a...
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| Veröffentlicht in: | Journal of clinical nursing 2017-12, Vol.26 (23-24), p.4756-4767 |
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| container_issue | 23-24 |
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| container_title | Journal of clinical nursing |
| container_volume | 26 |
| creator | Kuo, Huai‐Ting Lin, Kuan‐Chia Lan, Chung‐Fu Li, I‐Chuan |
| description | Aims and objectives
To examine activities of daily living trajectory groups among older residents in Taiwan, and to determine the relative risks of demographic characteristics and health status in explaining the trajectory group of activities of daily living.
Background
Activity of daily living is a crucial indicator of health status for institutionalised older adults. activities of daily living is a dynamic process and has differences in trajectory groups.
Design
This study was a 3‐year longitudinal analysis of long‐term care facility residents in Taiwan.
Methods
A total of 364 older residents completed the entire research process. We used group‐based trajectory modelling and multinomial logistic models for statistical analysis.
Results
The result of this study revealed that three activities of daily living trajectory groups among older residents exhibited high dependency with gradually declining function (Group 1, 22.53%), low dependency with gradually declining function (Group 2, 43.13%) and persistent independent function (Group 3, 34.34%). Compared with Group 3, Group 1 was related to the following potential risk factors: older age, female, nonmainland China born and a married status. After considering resident health status in the analysis, three significant factors emerged for Group 1: the number of chronic diseases (odds ratio = 2.45), depressive symptoms (odds ratio = 1.71) and cognitive status (odds ratio = 83.11). Compared with Group 3, Group 2 was related to older age. After adding resident health status to the analysis, two significant factors of Group 2 emerged: the number of chronic diseases (odds ratio = 1.68) and depressive symptoms (odds ratio = 1.74).
Conclusion
The findings of this study indicated that health factors, including the number of chronic diseases, cognitive status and depressive symptoms, were more likely to contribute to the development of a decline pattern of activities of daily living.
Relevance to clinical practice
Appropriate exercise programmes and physical activities, according to residents’ personal characteristics and activities of daily living status, is crucial for improving physical functioning, alleviating depression and cognitive defects in institutionalised older adults. |
| doi_str_mv | 10.1111/jocn.13828 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1881262299</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1969028273</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3578-2671e8e6936f58fe1b0bbf7612d2894d935ac99ecf8c66ed6a99cd7778ce57223</originalsourceid><addsrcrecordid>eNp9kEtrGzEURkVJiZ3Hpj8gCLIpgUn08OiRnTF9JJh4k6wHWbpTZOSRM9KkzL-vHLtdZNG7EVwdDvf7EPpCyS0tc7eJtrulXDH1CU0pF3XFJGEnaEq0YBUlQk7QWUobQihnjJ-iCVOcz2aKT5GZ2-zffPaQcGyxMz6MOJRN9wvn3mzA5tjvP802lpXvUvZ5yD52JvgEDsfgoMfGDSGnezzHuz6mHeylgFMe3HiBPrcmJLg8vufo5fu358XParn68bCYLyvLa6kqJiQFBUJz0daqBbom63UrBWWOKT1zmtfGag22VVYIcMJobZ2UUlmoZYl1jr4evOWC1wFSbrY-WQjBdBCH1FClKBOMaV3Q6w_oJg59SVQoLTRhikleqJsDZUuk1EPb7Hq_Nf3YUNLsi2_2xTfvxRf46qgc1ltw_9C_TReAHoDfPsD4H1XzuFo8HaR_AHA8js8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1969028273</pqid></control><display><type>article</type><title>Activities of daily living trajectories among institutionalised older adults: A prospective study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Kuo, Huai‐Ting ; Lin, Kuan‐Chia ; Lan, Chung‐Fu ; Li, I‐Chuan</creator><creatorcontrib>Kuo, Huai‐Ting ; Lin, Kuan‐Chia ; Lan, Chung‐Fu ; Li, I‐Chuan</creatorcontrib><description>Aims and objectives
To examine activities of daily living trajectory groups among older residents in Taiwan, and to determine the relative risks of demographic characteristics and health status in explaining the trajectory group of activities of daily living.
Background
Activity of daily living is a crucial indicator of health status for institutionalised older adults. activities of daily living is a dynamic process and has differences in trajectory groups.
Design
This study was a 3‐year longitudinal analysis of long‐term care facility residents in Taiwan.
Methods
A total of 364 older residents completed the entire research process. We used group‐based trajectory modelling and multinomial logistic models for statistical analysis.
Results
The result of this study revealed that three activities of daily living trajectory groups among older residents exhibited high dependency with gradually declining function (Group 1, 22.53%), low dependency with gradually declining function (Group 2, 43.13%) and persistent independent function (Group 3, 34.34%). Compared with Group 3, Group 1 was related to the following potential risk factors: older age, female, nonmainland China born and a married status. After considering resident health status in the analysis, three significant factors emerged for Group 1: the number of chronic diseases (odds ratio = 2.45), depressive symptoms (odds ratio = 1.71) and cognitive status (odds ratio = 83.11). Compared with Group 3, Group 2 was related to older age. After adding resident health status to the analysis, two significant factors of Group 2 emerged: the number of chronic diseases (odds ratio = 1.68) and depressive symptoms (odds ratio = 1.74).
Conclusion
The findings of this study indicated that health factors, including the number of chronic diseases, cognitive status and depressive symptoms, were more likely to contribute to the development of a decline pattern of activities of daily living.
Relevance to clinical practice
Appropriate exercise programmes and physical activities, according to residents’ personal characteristics and activities of daily living status, is crucial for improving physical functioning, alleviating depression and cognitive defects in institutionalised older adults.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/jocn.13828</identifier><identifier>PMID: 28334483</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Activities of Daily Living ; activity of daily living ; Adult ; Aged ; Aged, 80 and over ; Aging - physiology ; Chronic Disease ; Chronic illnesses ; Cognitive Dysfunction - psychology ; Depression - psychology ; Exercise ; Female ; Health Status ; Humans ; Institutionalization ; Logistic Models ; Long-Term Care ; Longitudinal Studies ; Male ; Nursing ; Older people ; Prospective Studies ; Taiwan ; trajectory</subject><ispartof>Journal of clinical nursing, 2017-12, Vol.26 (23-24), p.4756-4767</ispartof><rights>2017 John Wiley & Sons Ltd</rights><rights>2017 John Wiley & Sons Ltd.</rights><rights>Copyright © 2017 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3578-2671e8e6936f58fe1b0bbf7612d2894d935ac99ecf8c66ed6a99cd7778ce57223</citedby><cites>FETCH-LOGICAL-c3578-2671e8e6936f58fe1b0bbf7612d2894d935ac99ecf8c66ed6a99cd7778ce57223</cites><orcidid>0000-0003-3349-7263</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocn.13828$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocn.13828$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28334483$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kuo, Huai‐Ting</creatorcontrib><creatorcontrib>Lin, Kuan‐Chia</creatorcontrib><creatorcontrib>Lan, Chung‐Fu</creatorcontrib><creatorcontrib>Li, I‐Chuan</creatorcontrib><title>Activities of daily living trajectories among institutionalised older adults: A prospective study</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aims and objectives
To examine activities of daily living trajectory groups among older residents in Taiwan, and to determine the relative risks of demographic characteristics and health status in explaining the trajectory group of activities of daily living.
Background
Activity of daily living is a crucial indicator of health status for institutionalised older adults. activities of daily living is a dynamic process and has differences in trajectory groups.
Design
This study was a 3‐year longitudinal analysis of long‐term care facility residents in Taiwan.
Methods
A total of 364 older residents completed the entire research process. We used group‐based trajectory modelling and multinomial logistic models for statistical analysis.
Results
The result of this study revealed that three activities of daily living trajectory groups among older residents exhibited high dependency with gradually declining function (Group 1, 22.53%), low dependency with gradually declining function (Group 2, 43.13%) and persistent independent function (Group 3, 34.34%). Compared with Group 3, Group 1 was related to the following potential risk factors: older age, female, nonmainland China born and a married status. After considering resident health status in the analysis, three significant factors emerged for Group 1: the number of chronic diseases (odds ratio = 2.45), depressive symptoms (odds ratio = 1.71) and cognitive status (odds ratio = 83.11). Compared with Group 3, Group 2 was related to older age. After adding resident health status to the analysis, two significant factors of Group 2 emerged: the number of chronic diseases (odds ratio = 1.68) and depressive symptoms (odds ratio = 1.74).
Conclusion
The findings of this study indicated that health factors, including the number of chronic diseases, cognitive status and depressive symptoms, were more likely to contribute to the development of a decline pattern of activities of daily living.
Relevance to clinical practice
Appropriate exercise programmes and physical activities, according to residents’ personal characteristics and activities of daily living status, is crucial for improving physical functioning, alleviating depression and cognitive defects in institutionalised older adults.</description><subject>Activities of Daily Living</subject><subject>activity of daily living</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging - physiology</subject><subject>Chronic Disease</subject><subject>Chronic illnesses</subject><subject>Cognitive Dysfunction - psychology</subject><subject>Depression - psychology</subject><subject>Exercise</subject><subject>Female</subject><subject>Health Status</subject><subject>Humans</subject><subject>Institutionalization</subject><subject>Logistic Models</subject><subject>Long-Term Care</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Nursing</subject><subject>Older people</subject><subject>Prospective Studies</subject><subject>Taiwan</subject><subject>trajectory</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtrGzEURkVJiZ3Hpj8gCLIpgUn08OiRnTF9JJh4k6wHWbpTZOSRM9KkzL-vHLtdZNG7EVwdDvf7EPpCyS0tc7eJtrulXDH1CU0pF3XFJGEnaEq0YBUlQk7QWUobQihnjJ-iCVOcz2aKT5GZ2-zffPaQcGyxMz6MOJRN9wvn3mzA5tjvP802lpXvUvZ5yD52JvgEDsfgoMfGDSGnezzHuz6mHeylgFMe3HiBPrcmJLg8vufo5fu358XParn68bCYLyvLa6kqJiQFBUJz0daqBbom63UrBWWOKT1zmtfGag22VVYIcMJobZ2UUlmoZYl1jr4evOWC1wFSbrY-WQjBdBCH1FClKBOMaV3Q6w_oJg59SVQoLTRhikleqJsDZUuk1EPb7Hq_Nf3YUNLsi2_2xTfvxRf46qgc1ltw_9C_TReAHoDfPsD4H1XzuFo8HaR_AHA8js8</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Kuo, Huai‐Ting</creator><creator>Lin, Kuan‐Chia</creator><creator>Lan, Chung‐Fu</creator><creator>Li, I‐Chuan</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3349-7263</orcidid></search><sort><creationdate>201712</creationdate><title>Activities of daily living trajectories among institutionalised older adults: A prospective study</title><author>Kuo, Huai‐Ting ; Lin, Kuan‐Chia ; Lan, Chung‐Fu ; Li, I‐Chuan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3578-2671e8e6936f58fe1b0bbf7612d2894d935ac99ecf8c66ed6a99cd7778ce57223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Activities of Daily Living</topic><topic>activity of daily living</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging - physiology</topic><topic>Chronic Disease</topic><topic>Chronic illnesses</topic><topic>Cognitive Dysfunction - psychology</topic><topic>Depression - psychology</topic><topic>Exercise</topic><topic>Female</topic><topic>Health Status</topic><topic>Humans</topic><topic>Institutionalization</topic><topic>Logistic Models</topic><topic>Long-Term Care</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Nursing</topic><topic>Older people</topic><topic>Prospective Studies</topic><topic>Taiwan</topic><topic>trajectory</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kuo, Huai‐Ting</creatorcontrib><creatorcontrib>Lin, Kuan‐Chia</creatorcontrib><creatorcontrib>Lan, Chung‐Fu</creatorcontrib><creatorcontrib>Li, I‐Chuan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kuo, Huai‐Ting</au><au>Lin, Kuan‐Chia</au><au>Lan, Chung‐Fu</au><au>Li, I‐Chuan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Activities of daily living trajectories among institutionalised older adults: A prospective study</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2017-12</date><risdate>2017</risdate><volume>26</volume><issue>23-24</issue><spage>4756</spage><epage>4767</epage><pages>4756-4767</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aims and objectives
To examine activities of daily living trajectory groups among older residents in Taiwan, and to determine the relative risks of demographic characteristics and health status in explaining the trajectory group of activities of daily living.
Background
Activity of daily living is a crucial indicator of health status for institutionalised older adults. activities of daily living is a dynamic process and has differences in trajectory groups.
Design
This study was a 3‐year longitudinal analysis of long‐term care facility residents in Taiwan.
Methods
A total of 364 older residents completed the entire research process. We used group‐based trajectory modelling and multinomial logistic models for statistical analysis.
Results
The result of this study revealed that three activities of daily living trajectory groups among older residents exhibited high dependency with gradually declining function (Group 1, 22.53%), low dependency with gradually declining function (Group 2, 43.13%) and persistent independent function (Group 3, 34.34%). Compared with Group 3, Group 1 was related to the following potential risk factors: older age, female, nonmainland China born and a married status. After considering resident health status in the analysis, three significant factors emerged for Group 1: the number of chronic diseases (odds ratio = 2.45), depressive symptoms (odds ratio = 1.71) and cognitive status (odds ratio = 83.11). Compared with Group 3, Group 2 was related to older age. After adding resident health status to the analysis, two significant factors of Group 2 emerged: the number of chronic diseases (odds ratio = 1.68) and depressive symptoms (odds ratio = 1.74).
Conclusion
The findings of this study indicated that health factors, including the number of chronic diseases, cognitive status and depressive symptoms, were more likely to contribute to the development of a decline pattern of activities of daily living.
Relevance to clinical practice
Appropriate exercise programmes and physical activities, according to residents’ personal characteristics and activities of daily living status, is crucial for improving physical functioning, alleviating depression and cognitive defects in institutionalised older adults.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28334483</pmid><doi>10.1111/jocn.13828</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-3349-7263</orcidid></addata></record> |
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| ispartof | Journal of clinical nursing, 2017-12, Vol.26 (23-24), p.4756-4767 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Activities of Daily Living activity of daily living Adult Aged Aged, 80 and over Aging - physiology Chronic Disease Chronic illnesses Cognitive Dysfunction - psychology Depression - psychology Exercise Female Health Status Humans Institutionalization Logistic Models Long-Term Care Longitudinal Studies Male Nursing Older people Prospective Studies Taiwan trajectory |
| title | Activities of daily living trajectories among institutionalised older adults: A prospective study |
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