O'Mahony M S, Hyland C M, Twomey C
Department of Geriatric Medicine, Cork Regional Hospital.
Ir Med J. 1990 Sep;83(3):102-4.
A programme of regular planned respite admissions to the geriatric unit in Cork was established in 1984, for dependent elderly being cared for at home. Retrospective analysis of the respite programme sought to establish its bed utilisation, type of patients admitted, factors in their selection process, their outcome and any associated hospital morbidity. Twenty-four patients have used the scheme during the four years since its commencement, with an efficiency of bed utilisation in 1987 of 14 patients occupying a mean of 4.33 beds per month. The median number of medical problems per patients was five; their median age 77 years and the percentage over 80 years was 46%. Twenty-two patients were already receiving intensive rehabilitation before being placed on the programme, mobility problems dominated. Nine patients continue on the programme with a mean of 23.9 months of respites to date, eight were discharged and seven died. There was no significant difference between the number of respite stays in hospital and "at home" stays complicated by morbidity. The results suggest that even for a highly selected group of dependent elderly, a planned programme of respite admissions is an effective form of care, uses hospital beds efficiently without associated morbidity and may provide an alternative to long stay institutional care.
1984年，针对在家中接受照料的依赖他人的老年人，在科克的老年病房设立了一项定期计划的短期住院护理项目。对该短期住院护理项目进行回顾性分析，旨在确定其床位利用率、入院患者类型、选择过程中的因素、患者结局以及任何相关的医院发病率。自该项目启动以来的四年里，有24名患者使用了该计划，1987年床位利用率为14名患者，平均每月占用4.33张床位。每位患者的医疗问题中位数为5个；他们的年龄中位数为77岁，80岁以上的比例为46%。22名患者在进入该项目之前已经在接受强化康复治疗，行动不便问题较为突出。9名患者仍在该项目中，迄今为止平均接受了23.9个月的短期住院护理，8名患者出院，7名患者死亡。住院短期住院护理的次数与因发病而导致的“在家”护理次数之间没有显著差异。结果表明，即使对于经过高度挑选的依赖他人的老年人群体，有计划的短期住院护理项目也是一种有效的护理形式，能有效利用医院床位且无相关发病率，并且可能为长期住院机构护理提供一种替代方案。
