LAUSR

This study aimed to detect factors that could impede the continuation of day-care services of older people cared for at home. Using 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. Since 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. 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. 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. 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%). 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.