Sanford J R
Br Med J. 1975 Aug 23;3(5981):471-3. doi: 10.1136/bmj.3.5981.471.
Some 12% of all geriatric admissions to University College Hospital and Whittington Hospital are for patients whose relatives or friends can no longer cope with them at home. The person principally involved with home support was interviewed in 50 such cases. The causes of inability to cope were identified on a quantitative and qualitative basis. The supporters were asked to assess which of the problems identified would have to be alleviated to restore a tolerable situation at home; 46 (92%) were able to do so. Identification of the "alleviation factors" forms a therapeutic and prognostic guideline in this type of admission and may have far-reaching social and economic implications.
大学学院医院和惠廷顿医院所有老年住院病例中,约12%是因为亲属或朋友无法在家中照料的患者。针对50例此类病例,对主要负责家庭照料的人员进行了访谈。从定量和定性两方面确定了无法照料的原因。要求照料者评估,为使家中情况恢复到可容忍的程度,需要缓解已确定的哪些问题;46人(92%)能够做到这一点。确定“缓解因素”为此类住院病例提供了治疗和预后指导方针,可能具有深远的社会和经济意义。