Yukari Yamada1, Martina Vlachova2, Tomas Richter2, Harriet Finne-Soveri3, Jacob Gindin4, Henriëtte van der Roest5, Michael D Denkinger6, Roberto Bernabei7, Graziano Onder7, Eva Topinkova2. 1. Department of Geriatrics, First Faculty of Medicine, Charles University, Prague, Czech Republic; Department of Nursing, Faculty of Health Sciences, Palacky University, Olomouc, Czech Republic. Electronic address: yukari.yamada@upol.cz. 2. Department of Geriatrics, First Faculty of Medicine, Charles University, Prague, Czech Republic. 3. National Institute for Health and Welfare, Helsinki, Finland. 4. Centre for Standards in Health and Disability, Research Authority, University of Haifa, Haifa, Israel. 5. EMGO Institute for Health and Care Research, Department of General Practice and Elderly Care Medicine, VU University Medical Centre, Amsterdam, The Netherlands. 6. AGAPLESION Bethesda Clinic, Competence Centre of Geriatrics, University of Ulm, Ulm, Germany. 7. Centro Medicina dell'Invecchiamento, Università Cattolica Sacro Cuore, Rome, Italy.
Abstract
BACKGROUND: Visual and hearing impairments are known to be related to functional disability, cognitive impairment, and depression in community-dwelling older people. The aim of this study was to examine the prevalence of sensory impairment in nursing home residents, and whether sensory impairment is related to other common clinical problems in nursing homes, mediated by functional disability, cognitive impairment, and depressive symptoms. METHODS: Cross-sectional data of 4007 nursing home residents in 59 facilities in 8 countries from the SHELTER study were analyzed. Visual and hearing impairments were assessed by trained staff using the interRAI instrument for Long-Term Care Facilities. Generalized linear mixed models adjusted for functional disability, cognitive impairment, and depressive symptoms were used to analyze associations of sensory impairments with prevalence of clinical problems, including behavioral symptoms, incontinence, fatigue, falls, problems with balance, sleep, nutrition, and communication. RESULTS: Of the participants, 32% had vision or hearing impairment (single impairment) and another 32% had both vision and hearing impairments (dual impairment). Residents with single impairment had significantly higher rates of communication problems, fatigue, balance problems, and sleep problems, as compared with residents without any sensory impairment. Those with dual impairment had significantly higher rates of all clinical problems assessed in this study as compared with those without sensory impairment. For each clinical problem, the magnitude of the odds ratio for specific clinical problems was higher for dual impairment than for single impairment. CONCLUSION: Visual and hearing impairments are associated with higher rates of common clinical problems among nursing home residents, independent of functional disability, cognitive impairment, and depressive symptoms.
BACKGROUND:Visual and hearing impairments are known to be related to functional disability, cognitive impairment, and depression in community-dwelling older people. The aim of this study was to examine the prevalence of sensory impairment in nursing home residents, and whether sensory impairment is related to other common clinical problems in nursing homes, mediated by functional disability, cognitive impairment, and depressive symptoms. METHODS: Cross-sectional data of 4007 nursing home residents in 59 facilities in 8 countries from the SHELTER study were analyzed. Visual and hearing impairments were assessed by trained staff using the interRAI instrument for Long-Term Care Facilities. Generalized linear mixed models adjusted for functional disability, cognitive impairment, and depressive symptoms were used to analyze associations of sensory impairments with prevalence of clinical problems, including behavioral symptoms, incontinence, fatigue, falls, problems with balance, sleep, nutrition, and communication. RESULTS: Of the participants, 32% had vision or hearing impairment (single impairment) and another 32% had both vision and hearing impairments (dual impairment). Residents with single impairment had significantly higher rates of communication problems, fatigue, balance problems, and sleep problems, as compared with residents without any sensory impairment. Those with dual impairment had significantly higher rates of all clinical problems assessed in this study as compared with those without sensory impairment. For each clinical problem, the magnitude of the odds ratio for specific clinical problems was higher for dual impairment than for single impairment. CONCLUSION:Visual and hearing impairments are associated with higher rates of common clinical problems among nursing home residents, independent of functional disability, cognitive impairment, and depressive symptoms.
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Authors: Lieve M Roets-Merken; Myrra J F J Vernooij-Dassen; Sytse U Zuidema; Marianne K Dees; Pieter G J M Hermsen; Gertrudis I J M Kempen; Maud J L Graff Journal: BMJ Open Date: 2016-11-17 Impact factor: 2.692
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Authors: Lieve M Roets-Merken; Sytse U Zuidema; Myrra J F J Vernooij-Dassen; Steven Teerenstra; Pieter G J M Hermsen; Gertrudis I J M Kempen; Maud J L Graff Journal: BMJ Open Date: 2018-01-24 Impact factor: 2.692