Pain perception of older adults in nursing home and home care settings: evidence from China

BMC Geriatrics

Lin Chen¹  Nan Jiang²  Shuang Ma³  Yuebin Xu⁴  Yean Wang⁴  Qiang Zhang⁵ 

[1] Beijing Normal University, Zhuhai;Columbia University School of Social Work;School of Management, Beijing University of Chinese Medicine;School of Social Development and Public Policy, Beijing Normal University;School of Social Development and Public Policy/ Innovation Center for Risk Resilience, Beijing Normal University;

关键词: Pain;    Long-term care;    Nursing home;    China;    Older adults;   

DOI  :  10.1186/s12877-018-0841-0

来源: DOAJ

【 摘 要 】

Abstract Background In the past decade, the number of long-term care (LTC) services for older adults in China has grown annually by an average of 10%. Older adults, their family members, and policymakers in China are concerned about patient outcomes in different care settings because older adults who have a similar functional status and LTC needs may choose either nursing home care or home care. The aim of this study was to compare pain perception in nursing home care and home care settings for physically dependent older adults in China. Methods Multi-stage sampling method was used to recruit respondents aged 65 and older from Yichang City, China, in 2015. The researchers employed a two-step analytical strategy—zero-inflated ordered probit regression followed by propensity score matching method—to model the effect of contrasting residence types on pain perception. Results Zero-inflated ordered probit regression analysis with participants unmatched (n = 484) showed that compared with older adults who received home care, those who received nursing home care did not have more severe pain (β = 0.088, SE = 0.196, p = 0.655). After propensity-score matching, the research found that older adults in the home care group perceived less pain compared with the nursing home group (β = 0.489, SE = 0.169, p = 0.004). Conclusions The older adults who received home care perceived significantly less pain than the nursing home residents. The pain of older adults may differ based on the type of LTC services and therapy intensity they received, and home care might lead to less pain and better comfort than nursing home care.

【 授权许可】

Unknown