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Læknablaðið - 01.02.2015, Qupperneq 16

Læknablaðið - 01.02.2015, Qupperneq 16
84 LÆKNAblaðið 2015/101 R a n n S Ó k n ENgLISH SUMMArY introduction: Diabetes is an increasing problem among old people as well as being a contributing factor in their need for institutional care. Comorbidity and use of medication is often greater among people with than without diabetes. The aim of this study was to investigate the prevalence of diabetes in Icelandic nursing homes over the period 2003- 2012. Additionally we compared health, functioning, medication use and medical diagnoses of residents with diabetes to those without diabetes, living in nursing homes in 2012. Material: Retrospective study of 16.169 Minimum Data Set 2.0 assess- ments, further analysis conducted for data from the year 2012 (n=2337). Results: Mean age from 82.3 (SD 9.1) to 85.0 years (SD 8.4) and women were 65.5% to 68.0%. Number of residents with diabetes increased from 10.3% in the year 2003 to 14.2% in 2012 (p≤0,001). Mean age of residents with diabetes in the year 2012 was 82.7 compared to 85 years for others. Residents with diabetes had more skin problems, used more medication, their cognitive performance was better and their involve- ment in activities greater. They were more likely to have hypertension, arteriosclerotic heart disease, stroke, renal failure, manic depressive disorder, diabetic retinopathy or amputation. They were however, less likely to have an anxiety disorder, Alzheimer’s disease or osteoporosis. Conclusion: Residents with diabetes are younger than other residents and their cognitive performance is better, their care and treatment may however be complicated and needs to be adapted to each individual. Diabetes is an increasing problem in nursing homes and therefore an area where more knowledge among staff is needed. Prevalence of diabetes as well as general health status of icelandic nursing home residents 2003-2012 Ingibjorg Hjaltadottir1, Arun Sigurdardottir2 1School of Health Sciences, University of Iceland Sæmundargötu 2, 101 Reykjavík and Emergency, Geriatrics, Rehabilitation Services The National University Hospital, 101 Reykjavik, Iceland 2School of Health Sciences, University of Akureyri, Nordurslod, 600 Akureyri, Iceland key words: Diabetes, geriatric nursing, Minimum Data Set, nursing homes, old people. Correspondence: Ingibjorg Hjaltadottir, ingihj@hi.is Heimildir 1. Þórsson B, Aspelund T, Harris TB, Launer LJ, Guðnason V. Þróun holdafars og sykursýki í 40 ár á Íslandi. Læknablaðið 2013; 95: 259-65. 2. Luppa M, Luck T, Weyerer S, Konig HH, Brahler E, Riedel- Heller SG. Prediction of institutionalization in the elderly. A systematic review. Age Ageing 2010; 39: 31-8. 3. Travis SS, Buchanan RJ, Wang S, Kim M. Analyses of nursing home residents with diabetes at admission. J Am Med Dir Assoc 2004; 5: 320-7. 4. Achterberg WP, Gambassi G, Finne-Soveri H, Liperoti R, Noro A, Frijters DH. et al. Pain in European long-term care facilities: cross-national study in Finland, Italy and The Netherlands. Pain 2010; 148: 70-4. 5. Aspray TJ, Nesbit K, Cassidy TP, Farrow E, Hawthorne G. Diabetes in British nursing and residential homes: a pragmatic screening study. Diabetes Care 2006; 29: 707-8. 6. Moore KL, Boscardin WJ, Steinman MA, Schwartz JB. Age and sex variation in prevalence of chronic medical conditions in older residents of U.S. nursing homes. J Am Geriatr Soc 2012; 60: 756-64. 7. Dybicz SB, Thompson S, Molotsky S, Stuart B. Prevalence of diabetes and the burden of comorbid conditions among elderly nursing home residents. Am J Geriatr Pharmacother 2011; 9: 212-23. 8. Hansdóttir H, Guðmannsson PG. Lyfjanotkun á hjúkr- unarheimilum á Íslandi 2002-2004. Lýsandi rannsókn. Læknablaðið 2013; 99: 383-6. 9. Hjaltadottir I, Ekwall AK, Nyberg P, Hallberg IR. Quality of care in Icelandic nursing homes measured with Minimum Data Set quality indicators: retrospective analysis of nursing home data over 7 years. Int J Nurs Stud 2012;49: 1342-53. 10. Ingimarsson O, Aspelund T, Jonsson PV. Vistunarmat aldraðra á árunum 1992-3001, tengsl við lifun og vistun Læknablaðið 2004; 90: 121-9. 11. Ingimarsson O, Aspelund T, Jonsson PV. Birtingarmynd heilabilunar í vistunarmati aldraðra fyrir hjúkrunarrými 1992-2001. Læknablaðið 2004; 90: 767-73. 12. Yau CK, Eng C, Cenzer IS, Boscardin WJ, Rice-Trumble K, Lee SJ. Glycosylated hemoglobin and functional decline in community-dwelling nursing home-eligible elderly adults with diabetes mellitus. J Am Geriatr Soc 2012; 60: 1215-21. 13. Gregg EW, Mangione CM, Cauley JA, Thompson TJ, Schwartz AV, Ensrud KE, et al. Diabetes and incidence of functional disability in older women. Diabetes Care 2002; 25: 61-7. 14. Gadsby R, Barker P, Sinclair A. People living with diabetes resident in nursing homes--assessing levels of disability and nursing needs. Diabet Med 2011; 28: 778-80. 15. Hjaltadottir I, Hallberg IR, Ekwall AK, Nyberg P. Health status and functional profile at admission of nursing home residents in Iceland over 11-year period. Int J Older People Nurs 2012; 7: 177-87. 16. Velferðarráðuneytið. Greiðslur fyrir búsetu á dvalar- og hjúkrunarheimilum. 2014; velferdarraduneyti.is/frettir- vel/nr/33334 - júní 2014. 17. Mor V, Intrator O, Unruh MA, Cai S. Temporal and Geographic variation in the validity and internal consistency of the Nursing Home Resident Assessment Minimum Data Set 2.0. BMC Health Serv Res 2011; 11: 78. 18. Hjaltadottir I, Hallberg IR, Ekwall AK, Nyberg P. Predicting mortality of residents at admission to nursing home: A longitudinal cohort study. BMC Health Serv Res 2011; 11: 86. 19. Fries BE, Simon SE, Morris JN, Flodstrom C, Bookstein FL. Pain in U.S. nursing homes: validating a pain scale for the minimum data set. Gerontologist 2001; 41: 173-9. 20. Burrows AB, Morris JN, Simon SE, Hirdes JP, Phillips C. Development of a minimum data set-based depression rating scale for use in nursing homes. Age Ageing 2000; 29: 165-72. 21. Gruber-Baldini AL, Zimmerman SI, Mortimore E, Magaziner J. The validity of the minimum data set in measuring the cognitive impairment of persons admitted to nursing homes. J Am Geriatr Soc 2000; 48: 1601-6. 22. Resnick HE, Fries BE, Verbrugge LM. Windows to their world: the effect of sensory impairments on social engagement and activity time in nursing home residents. J Gerontol; Series B, Psychol Sci Soc Sci 1997; 52: 135-44. 23. Guðlaugsson JÓ, Magnússon KÓ, Jónsson SH. Heilsa og líðan Íslendinga 2012: Framkvæmdaskýrsla. Embætti landlæknis, Reykjavík 2014. 24. Resnick HE, Heineman J, Stone R, Shorr RI. Diabetes in U.S. nursing homes, 2004. Diabetes Care 2008; 31: 287-8. 25. Olafsdottir E, Aspelund T, Sigurdsson G, Benediktsson R, Thorsson B, Harris TB, et al. Similar decline in mortality rate of older persons with and without type 2 diabetes between 1993 and 2004 the Icelandic population-based Reykjavik and AGES-Reykjavik cohort studies. BMC Public Health 2013; 13: 36. 26. Benónýsdóttir GE, Árnadóttir SÁ, Halldórsdóttir S. Reynsla aldraðra, sem búsettir eru á eigin heimili, af heil- brigði og af því hvað viðheldur og eflir heilsu á efri árum. Tímarit hjúkrunarfræðinga 2009; 85: 48-55. 27. Zheng W, McLerran DF, Rolland B, et al. Association between body-mass index and risk of death in more than 1 million Asians. New Engl J Med 2011; 364: 719-29. 28. Garfinkel D, Zur-Gil S, Ben-Israel J. The war against polyp- harmacy: a new cost-effective geriatric-palliative approach for improving drug therapy in disabled elderly people. Isr Med Assoc J 2007; 9: 430-4. 29. Lau DT, Kasper JD, Potter DE, Lyles A, Bennett RG. Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. Arch Intern Med 2005; 165: 68-74. 30. Hofbauer LC, Brueck CC, Singh SK, Dobnig H. Osteoporosis in patients with diabetes mellitus. J Bone Miner Res 2007; 22: 1317-28. 31. Shin JH, Scherer Y. Advantages and disadvantages of using MDS data in nursing research. J Gerontol Nurs 2009; 35: 7-17. Storkum ekki örlögunum Erlibelle – Getnaðarvörn til inntöku Hver tafla inniheldur 0,15 mg af levónorgestreli og 0,03 mg af etinýlestradíóli. Z Z H V ÍT A H Ú S IÐ / S ÍA - A c ta v is 4 1 0 1 2 2

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