The protective effect of social engagement on mortality in long-term care.
作者： Dan K. Kiely , Samuel E. Simon , Richard N. Jones , John N. Morris
DOI: 10.1111/J.1532-5415.2000.TB02624.X
关键词: Cohort study 、 Risk factor 、 Medicine 、 Retrospective cohort study 、 Psychosocial 、 Gerontology 、 Social engagement 、 Social environment 、 Long-term care 、 Demography 、 Minimum Data Set
摘要: OBJECTIVES: To examine the effect of social engagement (SE) on mortality in long-term care. DESIGN: A retrospective cohort study. SETTING: 725-bed care facility. PARTICIPANTS: total 927 residents who had SE measurements and did not have a serious communication problem. MEASUREMENTS: Minimum Data Set information including psychosocial items comprising an internally reliable valid scale, risk factor measurements. Mortality data during 1721-day follow-up period was obtained from facility records. RESULTS: Life table analyses indicate that higher levels are associated with longer survival (P = .0001). Unadjusted proportional hazards show engage socially were 2.3 times more likely to die compared most engaged. Multivariate adjusted showed protective remained even after simultaneously adjusting for factors. Residents 1.4 as engaged. CONCLUSIONS: Increased independent may be modifiable death among residents. More research is needed understand psychological factors influence residents' desire ability socially.
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