Bowling A, Formby J, Grant K
Nurs Stand. 1992;6(31):25-7. doi: 10.7748/ns.6.31.25.s41.
This paper reports the data on accidents from a randomised controlled trial evaluating health authority-funded nursing home and long stay care of the elderly ward care in one inner London health district. Respondents randomised to NHS nursing homes experienced a higher accident rate than respondents randomised to conventional long stay hospital wards for elderly people. Respondents in the homes also experienced an earlier decline in functional and mental ability than those in hospital. These disadvantages have to be balanced against the previously published observational data from the evaluation, which clearly indicated that quality of life in the homes was superior to that in the wards. The conclusion from this study is that earlier decline in functional and mental ability and increased accident risk in the more flexible environments of the nursing homes have to be balanced against an inferior quality of life in the large traditional hospital wards; such assessments are not easy to make on behalf of other people. This final part of the report details the authors' conclusions.
本文报告了一项随机对照试验中的事故数据，该试验评估了伦敦市中心一个卫生区由卫生当局资助的养老院及老年病房长期护理情况。被随机分配到国民保健服务养老院的受访者比被随机分配到传统老年长期住院病房的受访者事故发生率更高。养老院中的受访者在功能和心理能力方面也比住院的受访者更早出现衰退。这些劣势必须与之前评估中发表的观察数据相权衡，这些数据清楚地表明养老院的生活质量优于病房。这项研究的结论是，在养老院更灵活的环境中功能和心理能力更早衰退以及事故风险增加，必须与大型传统医院病房较低的生活质量相权衡；为他人进行这样的评估并不容易。报告的最后部分详细阐述了作者的结论。
