Physical and Mental Health of Homebound Older Adults: An Overlooked Population

被引：236

作者：

Qiu, Wei Qiao ^{[1
,2
]}

Dean, Michael ^{[1
,2
]}

Liu, Timothy ^{[3
]}

George, Linda ^{[4
]}

Gann, Margery ^{[5
]}

Cohen, Joshua ^{[6
]}

Bruce, Martha L. ^{[7
]}

机构：

[1] Boston Univ, Dept Psychiat, Boston, MA 02118 USA

[2] Boston Univ, Dept Pharmacol & Expt Therapeut, Boston, MA 02118 USA

[3] Yale Univ, Sch Med, Dept Psychiat, New Haven, CT USA

[4] Boston Senior Homecare Ctr, Boston, MA USA

[5] Ethos Care Management, Boston, MA USA

[6] Tufts Med Ctr, Inst Clin Res & Hlth Policy Studies, Boston, MA USA

[7] Weill Cornell Med Coll, Dept Psychiat, New York, NY USA

来源：

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY | 2010年 / 58卷 / 12期

关键词：

homebound; psychiatric; medically; HOME-CARE; GERIATRIC-PATIENTS; ELDERLY PATIENTS; NURSING-HOMES; DEPRESSION; RISK; DEFINITION; IMPAIRMENT; PREVALENCE; SERVICES;

D O I：

10.1111/j.1532-5415.2010.03161.x

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

030301 [社会学]; 100201 [内科学];

摘要：

There are currently more than 38.9 million people aged 65 an older in the United States. Up to 3.6 million of these people are considered housebound and in need of home-based care. Although homebound status is not defined specifically, with a broad range of disability levels, it is evident that people who are homebound suffer from a multitude of medical and psychiatric illnesses. This review examines the current literature to identify the specific physical and psychiatric factors most responsible for older adults becoming and remaining housebound. Homebound older adults suffer from metabolic, cardiovascular, cerebrovascular, and musculoskeletal diseases, as well as from cognitive impairment, dementia, and depression, at higher rates than the general elderly population. The information in this review will explain the specific types of care the homebound population needs and discuss the care that could help ease their suffering and delay their entry into a nursing home or hospital.

引用

页码：2423 / 2428

页数：6

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