University of Alberta, Faculty of Nursing, Edmonton, Canada.
Can J Aging. 2013 Sep;32(3):223-31. doi: 10.1017/S0714980813000287. Epub 2013 Aug 6.
Nursing homes have become complex care environments where residents have significant needs and most have age-related dementia. Building on research by Hirdes et al. (2011), we describe a resident profile in a representative sample of 30 urban nursing homes in the prairie provinces using Resident Assessment Instrument – Minimum Data Set 2.0 data from 5,196 resident assessments completed between 1 October 2007 and 31 December 2011. Residents were chiefly over age 85, female, and with an age-related dementia. We compared facility support and related services and resident characteristics by province, owner-operator model, and number of facility units. We observed differences in support and related services by both unit count and province. We also found that public facilities tend to care for residents with more demanding characteristics: notably cognitive impairment, aggressive behaviours, and incontinence. No clear trends associating the number of units in a facility with resident characteristics were observed.
养老院已经成为了一个复杂的护理环境，里面的居民有很多特殊需求，而且大多数都患有与年龄相关的痴呆症。在 Hirdes 等人（2011 年）的研究基础上，我们使用 Resident Assessment Instrument – Minimum Data Set 2.0 数据，对来自草原省份的 30 家城市养老院的 30 名居民进行了代表性抽样，共完成了 5196 次居民评估，评估时间为 2007 年 10 月 1 日至 2011 年 12 月 31 日。居民主要是 85 岁以上的女性，且患有与年龄相关的痴呆症。我们比较了各省、所有者/运营商模式和设施单位数量对设施支持和相关服务以及居民特征的影响。我们观察到，单位数量和省份都对支持和相关服务产生了影响。我们还发现，公立设施往往照顾那些具有更高需求特征的居民：特别是认知障碍、攻击性行为和失禁。没有明显的趋势表明，设施内的单位数量与居民特征相关联。
