Parsons Matthew, Senior Hugh, Kerse Ngaire, Chen Mei-Hua, Jacobs Stephen, Anderson Craig
Gerontology, School of Nursing, University of Auckland, New Zealand.
Massey University - Albany Campus, New Zealand.
Nurs Older People. 2017 Aug 31;29(7):27-33. doi: 10.7748/nop.2017.e897.
Aim To establish the effectiveness of a restorative home support service on institutional-free survival in frail older people referred for needs assessment. Method A randomised controlled trial of Community Flexible Integrated Responsive Support Team versus usual care in 113 older people at risk of institutionalisation in New Zealand. Primary outcome was death or permanent institutional care evaluated in a Cox proportional hazards model adjusted for baseline prognostic variables. A variety of secondary outcomes including the health of informal caregivers were also evaluated. Results The primary outcome was lower, but not statistically significant, in the intervention group (adjusted hazard ratio 0.69, 95% confidence interval 0.4 to 1.16). Informal caregivers of interventional participants had significantly better physical and mental component scores on the 36-item Short-Form questionnaire. Conclusion Restorative home support may reduce the risk of death and institutionalisation in frail older people without affecting the health of informal caregivers.
目的 确定一项恢复性家庭支持服务对被转介进行需求评估的体弱老年人实现非机构化生存的有效性。方法 在新西兰对113名有机构化风险的老年人开展一项社区灵活综合响应支持团队与常规护理的随机对照试验。主要结局是在根据基线预后变量进行调整的Cox比例风险模型中评估的死亡或永久性机构护理。还评估了包括非正式照护者健康状况在内的各种次要结局。结果 干预组的主要结局较低，但无统计学意义（调整后风险比0.69，95%置信区间0.4至1.16）。干预参与者的非正式照护者在36项简短问卷上的身体和心理成分得分显著更高。结论 恢复性家庭支持可能降低体弱老年人死亡和机构化的风险，且不影响非正式照护者的健康。
