González Montalvo J I, Jaramillo Gómez E, Rodríguez Mañas L, Guillén Llera F, Salgado Alba A
Sección de Geriatría, Hospital General de Guadalajara.
Rev Clin Esp. 1990 Sep;187(4):165-9.
In this study we analyze the evolution of 85 patients included in a geriatric home care (GHC) program after 18 months. Mean age was 82 years, with a mean 4 diagnosis per patient and treatment with a mean of 3 drugs per patient. Of these patients 53% presented physical and 36% mental severe deterioration. After 18 months, 39% of the patients had died and 25% continued in the program. Readmissions at the geriatric ward was only 16% in the 18 months of follow-up. The most deteriorated patients required a greater nursery attention and less pharmacological treatment. Male patients presented more pluripathology, required more nurse techniques and died more frequently than females, who were more frequently discharged. These data contribute to the better knowledge of GHC, a care level which should be considered when planning health assistance of the elderly.
在本研究中，我们分析了85名纳入老年家庭护理（GHC）项目的患者在18个月后的情况。平均年龄为82岁，每位患者平均有4种诊断，每位患者平均使用3种药物治疗。这些患者中，53%出现身体严重衰退，36%出现精神严重衰退。18个月后，39%的患者死亡，25%继续留在该项目中。在18个月的随访中，老年病房的再入院率仅为16%。病情最严重的患者需要更多的护理关注和更少的药物治疗。男性患者比女性患者有更多的多种疾病，需要更多的护理技术，死亡频率更高，而女性患者出院频率更高。这些数据有助于更好地了解老年家庭护理，这是在规划老年人健康援助时应考虑的一种护理水平。
