Kerkstra A, Castelein E, Philipsen H
Netherlands Institute of Primary Health Care, Utrecht.
J Adv Nurs. 1991 Jun;16(6):631-7. doi: 10.1111/j.1365-2648.1991.tb01720.x.
This study aims at a description of the current position of preventive home visits to the elderly by community nurses in The Netherlands. Over a period of 8 weeks, a representative sample of 108 community nurses and 49 community nursing auxiliaries at 47 different locations paid a total number of 215 preventive home visits to elderly people. Clients' characteristics, the nature of care delivered by the nurse, and the length of the home visit were recorded for each home visit. The results suggested that community nurses and nursing auxiliaries spent very little time on preventive home visits. During the home visits, both types of nurses tried to increase the self-care agency of the elderly by giving education or advice. Furthermore, community nurses often paid more attention to the assessment and examination of existing or emerging self-care deficits of the elderly people visited than nursing auxiliaries. In spite of the fact that the importance of preventive care for the elderly is recognized, resources are scarce. It is therefore recommended that more research be carried out on the cost effectiveness of preventive home visits.
本研究旨在描述荷兰社区护士对老年人进行预防性家访的现状。在8周的时间里，来自47个不同地点的108名社区护士和49名社区护理辅助人员组成的代表性样本，总共对老年人进行了215次预防性家访。记录了每次家访中服务对象的特征、护士提供的护理性质以及家访时长。结果表明，社区护士和护理辅助人员在预防性家访上花费的时间很少。在家访过程中，两类护士都试图通过提供教育或建议来增强老年人的自我护理能力。此外，与护理辅助人员相比，社区护士通常更关注对受访老年人现有或新出现的自我护理缺陷的评估和检查。尽管认识到对老年人预防性护理的重要性，但资源稀缺。因此，建议对预防性家访的成本效益进行更多研究。
