[接受家访护理服务的体弱老年人的入院或机构安置相关因素]

[Factors related to admission or institution among the frail elderly with a home-visit nursing service].

作者信息

Matsuu Katsue, Washio Masakazu, Arai Yumiko, Mori Mitsuru, Ide Saburo

机构信息

Department of Public Health, Sapporo Medical University School of Medicine.

出版信息

Nihon Koshu Eisei Zasshi. 2002 Oct;49(10):1107-16.

PMID:12462045

Abstract

OBJECTIVE

To evaluate factors associated with admission of frail elderly to hospitals or nursing homes with a home-visit nursing service.

DESIGN

Retrospective cohort study.

SUBJECTS

395 consecutive frail elderly who were receiving domiciliary visits by nurses from St. Mary's home-visit nursing station between April 1993 and March 1998.

RESULTS

During the six-month follow-up, malignancy was positively related to admission to either hospitals or nursing homes while severe disability curtailing activities of daily living was negatively related to admission. During both one-year and two-years follow-up, severe disability of daily living was negatively related to admission. 2) Elderly people consulting doctors at general hospitals were more commonly hospitalized or institutionalized than those consulting family doctors in clinics. 3) The need for a short-stay service (i.e., "temporary nursing home assistance") was a risk factor for admission during the six months, one-year and two-years follow-up periods.

CONCLUSION

The frail elderly should consult family doctors in clinics in order to avoid admission to hospitals or nursing homes.

摘要

目的

评估与接受家访护理服务的体弱老年人入住医院或养老院相关的因素。

设计

回顾性队列研究。

研究对象

1993年4月至1998年3月期间连续395名接受圣玛丽家访护理站护士上门访视的体弱老年人。

结果

1）在六个月的随访期间，恶性肿瘤与入住医院或养老院呈正相关，而严重残疾导致日常生活活动受限与入住呈负相关。在一年和两年的随访期间，日常生活严重残疾与入住呈负相关。2）在综合医院咨询医生的老年人比在诊所咨询家庭医生的老年人更常住院或入住养老院。3）在六个月、一年和两年的随访期间，对短期服务（即“临时养老院援助”）的需求是入住的一个风险因素。