Key summary points
This study aimed to detect factors that could impede the continuation of day-care services of older people cared for at home.
AbstractSection FindingsUsing clinical data of 132 older users utilizing our day-care center from April 2019 to March 2020, our study reveals statistical significance in Parkinson disease/Parkinsonism, pain complaints, day-service use, short-stay service use, day-care center use to reduce care burden, physical ability including ambulation, availability of the major caregiver, and day-care service use to reduce care burden.
AbstractSection MessageSince the use of short-stay and day-care services and low independent ambulation were the likely factors for suspended use, an effective program for day-service and short-stay services to improve the activities of daily living of older users and reduce care burden is required in day-care centers.
Abstract
Purpose
Day-care services contribute to maintaining the daily living ability of older people cared for at home. This study aimed to detect factors that could impede the continuation of day-care services.
Methods
We collected clinical data of 132 older users (age = 82.8 ± 7.5 years; male:female = 49:83) utilizing our day-care center from April 2019 to March 2020. We evaluated age, sex, underlying disease, medication, family background, care level, food texture, physical ability, reasons for frequenting day-care centers, and combined medical/nursing care plans. Participants were divided into two groups: continuation (n = 51) and suspension (n = 81). The collected items were evaluated statistically using the chi-square test, Mann–Whitney test, and unpaired t test. Multivariate logistic analysis (forward–backward stepwise selection method) was added to the statistically significant items. Statistical significance was defined as p < 0.05.
Results
The comparison test detected statistical significance in Parkinson disease/Parkinsonism, pain complaints, day-service use, short-stay service use, day-care center use to reduce care burden, physical ability including ambulation, and availability of the major caregiver (p < 0.05). Day-care service use to reduce care burden (odds ratio 5.646, p < 0.05), use of short-stay and day-care services (odds ratio 4.798, p < 0.05), and low independent ambulation (odds ratio 0.585, p < 0.05) were the likely factors for suspended use (percentage of correct classification = 68.5%).
Conclusion
An unreplaceable and effective program for day-service and short-stay services to improve the activities of daily living of older users and reduce care burden is required in day-care centers.
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We would like to thank Editage (www.editage.com) for English language editing.
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Conceptualization and investigation: TY; Formal analysis: AG; Writing—original draft preparation: YM; Writing—review and editing: AG; Investigation: AT, TK, KA, YO; Project administration: JK; Project administration and final approval of the draft: KY.
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Approval was obtained from the ethical committee of Hikari hospital. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.
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Yamamoto, T., Goda, A., Maki, Y. et al. Factors related to suspension of day-care services: an effective program for older users with declined ambulation to reduce care burden. Eur Geriatr Med 13, 951–957 (2022). https://doi.org/10.1007/s41999-022-00621-9
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DOI: https://doi.org/10.1007/s41999-022-00621-9