Capewell A E, Primrose W R, MacIntyre C
Br Med J (Clin Res Ed). 1986 Jun 28;292(6537):1719-21. doi: 10.1136/bmj.292.6537.1719.
There has been growing interest and public investment in registered nursing homes, apparently based on the assumption that these homes are the private equivalent of hospital long term care. We have tested this hypothesis in a survey comparing 400 patients in 18 registered nursing homes with 217 patients in 11 geriatric long term care wards in Edinburgh. The nursing home patients formed a distinct and separate group: 362 (92%) were women, 392 (98%) were single or widowed, and 358 (90%) were self financing, whereas in the geriatric long term care group 148 (68%) were women and 35 (16%) were still married. Patients in nursing homes were also far less dependent than those in geriatric long term care wards (p less than 0.005). This study suggests that there may be large differences between the patients in these two types of institution, particularly with regard to nursing dependency. This finding has important implications in the future planning of long term places for the dependent elderly.
人们对注册养老院的兴趣和公共投资一直在增加，这显然是基于这样一种假设，即这些养老院相当于私立的医院长期护理机构。我们在一项调查中对这一假设进行了验证，该调查比较了爱丁堡18家注册养老院中的400名患者与11家老年长期护理病房中的217名患者。养老院患者构成了一个独特且独立的群体：362名（92%）为女性，392名（98%）为单身或丧偶，358名（90%）为自费；而在老年长期护理组中，148名（68%）为女性，35名（16%）仍处于婚姻状态。养老院患者的依赖程度也远低于老年长期护理病房的患者（p<0.005）。这项研究表明，这两种类型机构中的患者可能存在很大差异，尤其是在护理依赖方面。这一发现对未来为依赖他人的老年人规划长期住所具有重要意义。
