Williams E I, Fitton F
Department of General Practice, University of Nottingham.
Br J Gen Pract. 1991 Mar;41(344):105-8.
As part of a study to determine reasons for early unplanned readmission of elderly patients to hospital, the problems experienced by the carers of two groups of patients aged 65 years and over were analysed. Carers of 100 patients who had been readmitted in an emergency and 93 control patients were interviewed. The majority of carers were aged 60 year or over and two thirds were women. Forty one per cent of the carers were the patient's spouse. Forty per cent of the carers did not live with the patient. Many of the carers had been attending to the personal and domestic needs of their dependents for a considerable time. Carers complained about the effect the task had on their own health and the high levels of frustration experienced. Carer problems were important principal and contributory reasons for readmission. Carers of readmitted patients experienced more problems, frustrations and concerns than the carers of control patients. It is suggested that communication between professionals and carers should be improved, and, in particular, that the needs of carers should be assessed before discharge of patients from hospital.
作为一项旨在确定老年患者早期非计划再次入院原因的研究的一部分，对两组65岁及以上患者的护理人员所经历的问题进行了分析。对100名急诊再次入院患者的护理人员和93名对照患者的护理人员进行了访谈。大多数护理人员年龄在60岁及以上，三分之二为女性。41%的护理人员是患者的配偶。40%的护理人员不与患者同住。许多护理人员在相当长的时间里一直照料受抚养人的个人和家庭需求。护理人员抱怨这项任务对他们自身健康的影响以及所经历的高度挫折感。护理人员的问题是再次入院的重要主要原因和促成因素。再次入院患者的护理人员比对照患者的护理人员经历了更多的问题、挫折和担忧。建议改善专业人员与护理人员之间的沟通，特别是在患者出院前应对护理人员的需求进行评估。
