Department of Health Sciences, Lund University, Lund, Sweden.
Int J Older People Nurs. 2012 Sep;7(3):177-87. doi: 10.1111/j.1748-3743.2011.00287.x. Epub 2011 Aug 1.
The knowledge over time of the health status and changes in care needs of newly admitted nursing home residents is limited.
To investigate trends in residents' health status and functional profile at admission to nursing homes and compare rural and capital areas in Iceland over an 11-year period.
Retrospective analysis of nursing home data over 11 years (1996-2006).
Residents, who had been assessed with the Minimum Data Set assessment within 90 days from admittance (n = 2206).
Non-parametric tests for descriptive statistics and linear regressions were used to analyse time trends.
The mean age ranged from 80.1 to 82.8, and women accounted for 52.7% to 67.1%. The level of independency indicated intact cognitive performance in 28.6-61.4% and in 42.5-68% in activities of daily living performance. A weak, but significant, linear trend was seen in residents' health becoming less stable, their cognitive performance improving, more pain being reported and greater participation in social activities over the 11 years.
Some residents might have stayed at home longer had they been given appropriate home care and the opportunity of rehabilitation. Pain management and social activities are areas where more staff knowledge seems to be needed.
Resources to enable old people to remain at home need to be explored before their entry into nursing homes. Whereas providing services at the appropriate level is important for society as well as older people.
对于新入住养老院居民的健康状况和护理需求变化的了解是有限的。
调查养老院居民入院时健康状况和功能状况的趋势，并比较冰岛农村和首都地区在 11 年期间的情况。
对 11 年（1996-2006 年）养老院数据的回顾性分析。
在入住后 90 天内接受最低数据集评估的居民（n=2206）。
使用非参数检验进行描述性统计和线性回归分析来分析时间趋势。
平均年龄范围为 80.1 至 82.8 岁，女性占 52.7%至 67.1%。独立性水平表明认知功能完好的比例为 28.6%至 61.4%，日常生活活动能力完好的比例为 42.5%至 68%。在 11 年间，居民的健康状况变得越来越不稳定，认知能力有所提高，报告的疼痛更多，社会活动参与度更高，呈弱但显著的线性趋势。
如果给予适当的家庭护理和康复机会，一些居民可能会在家中停留更长时间。疼痛管理和社会活动是需要更多工作人员知识的领域。
在老年人进入养老院之前，需要探索使他们能够留在家里的资源。为老年人提供适当水平的服务对社会和老年人都很重要。
