Primrose C S, Primrose W R
Department of Medicine for the Elderly, Woodend Hospital, Aberdeen.
Health Bull (Edinb). 1992 Sep;50(5):399-406.
A prospective Audit of patients admitted for geriatric respite care was undertaken. Information was obtained from patients, staff and carers for 125 consecutive admissions over a 20 week period. The 87 clients admitted had a mean age of 79.6 years and 83% had a high physical/mental dependency. In contrast to some previous studies mortality was very low (less than 2%). One hundred and nine (87%) admissions were discharged home. Respite admission bed use was classified as shared care (971 days, n = 19), planned respite (937 days, n = 50) and crisis respite (809 days, n = 18). The shared care and planned group did not show significant differences in patient dependency or carer profile. On a population basis, geriatric respite care was required on a bed per 1,000 population aged 75 and over. Patients viewed as inappropriate for geriatric care were most frequent in the crisis respite group, with the Geriatric Unit at times meeting shortfalls in other services. The sharing of key information between families/carers and community/hospital was, at times, deficient. The need for increased publicity about the service and for a carer support group was identified. Most families were satisfied with the care received but specific ways of improving the service were suggested.
对因老年患者短期住院护理而入院的患者进行了一项前瞻性审计。在20周的时间里，连续收集了125例入院患者、工作人员和护理人员的信息。87名入院患者的平均年龄为79.6岁，83%的患者在身体/精神方面存在高度依赖。与之前的一些研究不同，死亡率非常低（低于2%）。109例（87%）患者出院回家。短期住院护理床位的使用分为共享护理（971天，n = 19）、计划内短期住院护理（937天，n = 50）和危机短期住院护理（809天，n = 18）。共享护理组和计划内短期住院护理组在患者依赖程度或护理人员情况方面没有显著差异。以人口为基础，每1000名75岁及以上的老年人需要一张老年短期住院护理床位。被认为不适合老年护理的患者在危机短期住院护理组中最为常见，老年科有时会弥补其他服务的不足。家庭/护理人员与社区/医院之间的关键信息共享有时存在不足。确定了需要加强对该服务的宣传以及设立护理人员支持小组。大多数家庭对所接受的护理感到满意，但也提出了改善服务的具体方法。
