Department of Geriatrics, Aarhus University Hospital, 8200 Aarhus N, Denmark.
Department of Geriatrics, Aarhus University Hospital, 8200 Aarhus N, Denmark.
Geriatr Nurs. 2022 May-Jun;45:64-68. doi: 10.1016/j.gerinurse.2022.02.027. Epub 2022 Mar 23.
To evaluate whether the involvement of relatives in home visits by a geriatric team post-discharge is associated with unplanned readmissions in severely frail patients living alone.
A quality improvement project evaluating outcomes from routine care of patients who were severely frail, 65+ years, living alone, and visited at home by a geriatric team after discharge from acute hospital admission. We compared patients who did and did not have relatives attending the visit. Data were analyzed by logistic regression.
Of 437 patients with a mean age of 85.0 (±7.8) years 73% had severe comorbidity, 68% had a low functional ability, and 100 patients (23%) had relatives attending. Attendance of relatives was associated with a lower unplanned 30-day readmission rate (10% vs. 18%, adjusted odds ratio: 0.48 (0.23-1.00) p=0.05).
Results highlights the importance of involvement of relatives in care planning in the severely frail older patients living alone.
评估在严重虚弱的独居患者出院后，老年团队的家庭访视中是否让亲属参与与非计划性再入院之间的关系。
这是一个质量改进项目，评估了由老年团队对因急性住院而出院后严重虚弱、65 岁以上、独居的患者进行常规护理的结果。我们比较了有和没有亲属参加访视的患者。数据通过逻辑回归进行分析。
在 437 名平均年龄为 85.0（±7.8）岁的患者中，73%患有严重合并症，68%的功能能力较低，有 100 名患者（23%）的亲属参加了访视。亲属的参与与较低的 30 天非计划性再入院率相关（10%与 18%，调整后的优势比：0.48（0.23-1.00），p=0.05）。
研究结果强调了在严重虚弱的独居老年患者中，让亲属参与护理计划的重要性。
