School of Nursing, University of Auckland, Auckland, New Zealand.
Auckland District Health Board, Auckland, New Zealand.
Australas J Ageing. 2021 Mar;40(1):e22-e28. doi: 10.1111/ajag.12840. Epub 2020 Aug 9.
To explore how interRAI assessments could be used to identify opportunities to integrate palliative care into a plan of care.
A population-based, cross-sectional design using unique identifiers to link deaths with a national interRAI database. Data were analysed using logistic regression models and chi-square tests.
A total of 4869 people died over a 12-month period in one district health board area; 50.9% (n = 2478) received one or more interRAI assessments in the year before death. Diagnosis impacted on the type and timing of interRAI assessments and the recognition of end-stage disease.
People in the last year of life experience frequent interRAI assessments. There are opportunities to identify people who might benefit from a palliative care approach. Future research is needed to understand how interRAI assessors can be supported in the application of assessment items related to palliative care.
探讨如何利用 interRAI 评估来确定将姑息治疗纳入护理计划的机会。
采用基于人群的横断面设计，使用唯一标识符将死亡与全国 interRAI 数据库相关联。使用逻辑回归模型和卡方检验进行数据分析。
在一个地区卫生局的 12 个月期间，共有 4869 人死亡；50.9%（n=2478）在死亡前一年接受了一次或多次 interRAI 评估。诊断影响了 interRAI 评估的类型和时间以及终末期疾病的识别。
生命的最后一年的人经历频繁的 interRAI 评估。有机会确定可能受益于姑息治疗方法的人。需要进一步研究如何支持 interRAI 评估员在姑息治疗相关评估项目的应用。
