Wilkin D, Mashiah T, Jolley D J
Br Med J. 1978 Nov 4;2(6147):1274-6. doi: 10.1136/bmj.2.6147.1274.
Behavioural characteristics of the elderly populations of seven local authority residential homes and three long-stay hospital wards were assessed in 1976 and 1977 with the Crichton Royal behavioural rating scale. In 1977 the levels of behavioural problems had increased in the residential homes, but declined in the hospital wards. Differences between the homes had decreased as the overall level of problems increased. The findings suggested that the additional burden of caring for increasing numbers of severely disabled elderly people was affecting the balance of institutional care, and a radical reappraisal of present patterns of care may be necessary to meet their future needs.
1976年和1977年,使用克莱顿皇家行为评定量表对7家地方政府养老院和3个长期住院病房中的老年人群体的行为特征进行了评估。1977年,养老院中行为问题的水平有所上升,但医院病房中的行为问题水平有所下降。随着问题总体水平的上升,各养老院之间的差异有所减小。研究结果表明,照顾越来越多重度残疾老年人的额外负担正在影响机构护理的平衡,可能有必要对目前的护理模式进行彻底重新评估,以满足他们未来的需求。