Raynes N V, Sumpton R C
Faculty of Economic and Social Studies, University of Manchester.
Psychol Med. 1987 Nov;17(4):999-1008. doi: 10.1017/s0033291700000817.
This paper examines the quality of care in four types of residence for mentally handicapped adults in Britain. Data were gathered from 175 residents of 150 living units--mental handicap hospital wards, voluntary and private homes, local authority hostels and parental homes. Differences were apparent between the types of residence in terms of both residents' characteristics and care practices and routines. The findings indicate that some of the differences in care practices are not associated with differences in the residents' functioning. Additionally, alternatives to hospital care for mentally handicapped people are not providing demonstrably improved quality of care in several aspects of residential practice. A discussion of those aspects of care calling for more improvement is presented.
本文考察了英国四种为成年智障人士提供住所的机构的护理质量。数据收集自150个居住单元的175名居民，这些居住单元包括智障医院病房、志愿机构和私人疗养院、地方当局招待所及父母家中。在居民特征、护理措施和日常安排方面，不同类型的住所存在明显差异。研究结果表明，护理措施上的一些差异与居民的功能差异并无关联。此外，为智障人士提供的医院护理替代方案在住宿护理的几个方面并未显著提高护理质量。本文还对那些需要更多改进的护理方面进行了讨论。
