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Self‐feeding dependence incidence and predictors among nursing home residents: Findings from a 5 year retrospective regional study

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  • Alvisa Palese
  • Luca Grassetti
  • Ranieri Zuttion
  • Barbara Ferrario
  • Sandra Ponta
  • Illarj Achil
  • Mark Hayter
  • Roger Watson

Abstract

The aim of this regionally‐based, retrospective study was to describe the incidence of self‐feeding dependence and predictors among elderly patients admitted from 2008 to 2013 to 105 Italian nursing homes. Data reported in a regional database collected at the time of nursing home admission and every 6 months up to the resident's death were accessed. The self‐feeding degree of dependence was the dependent variable; at the individual and nursing home levels, explanatory variables were those collected at nursing home admission and every 6 months. The structural equation model and the ordinal polynomial logit regression analysis were performed. A total of 13 175 records of residents when admitted to the nursing home and their following 69 341 records, were included. At the time of nursing home admission, 6496 residents (49.3%) reported a certain degree of dependence in self‐feeding and showed slight worsening in their dependence every 6 months. At the individual level, the increased functional dependence raised the proportional odds ratios of approximately 4.36 times of an increased dependence in self‐feeding; the degree of cognitive impairment, the lack of social interactions, the occurrence of pressure sores, comorbidities, as well as the clinical instability and time all raised the risk of self‐feeding dependence progression. At the nursing home level, an increased number of beds emerged as a factor also increasing the proportional odds of dependence in self‐feeding. Factors affecting self‐feeding dependence are multi‐faceted at the individual and at the nursing home levels.

Suggested Citation

  • Alvisa Palese & Luca Grassetti & Ranieri Zuttion & Barbara Ferrario & Sandra Ponta & Illarj Achil & Mark Hayter & Roger Watson, 2019. "Self‐feeding dependence incidence and predictors among nursing home residents: Findings from a 5 year retrospective regional study," Nursing & Health Sciences, John Wiley & Sons, vol. 21(3), pages 297-306, September.
  • Handle: RePEc:wly:nuhsci:v:21:y:2019:i:3:p:297-306
    DOI: 10.1111/nhs.12596
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    References listed on IDEAS

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    1. Minjoo Hong & Jennie C. De Gagne & Hyewon Shin, 2018. "Social networks, health promoting‐behavior, and health‐related quality of life in older Korean adults," Nursing & Health Sciences, John Wiley & Sons, vol. 20(1), pages 79-88, March.
    2. Palese, Alvisa & Grassetti, Luca & Bandera, Davide & Zuttion, Ranieri & Ferrario, Barbara & Ponta, Sandra & Hayter, Mark & Watson, Roger, 2018. "High feeding dependence prevalence in residents living in Italian nursing homes requires new policies: Findings from a regionally based cross-sectional study," Health Policy, Elsevier, vol. 122(3), pages 301-308.
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    1. Nazarudin Safian & Shamsul Azhar Shah & Juliana Mansor & Zulkefley Mohammad & Siti Rohani Nurumal & Wan Abdul Hannan Wan Ibadullah & Saharuddin Ahmad & Yugo Shobugawa, 2021. "Factors Associated with the Need for Assistance among the Elderly in Malaysia," IJERPH, MDPI, vol. 18(2), pages 1-14, January.

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