159983Center for Home Care Policy & Research, New York, NY, USA.
Sinclair School of Nursing, 14716University of Missouri, Columbia, MO, USA.
J Appl Gerontol. 2022 Oct;41(10):2180-2186. doi: 10.1177/07334648221104084. Epub 2022 May 20.
Unmet needs for family caregiver assistance threaten patient outcomes during Medicare home health care (HHC). Sepsis survivors represent a growing proportion of the HHC patient population, but little is known regarding their risk for unmet caregiving needs. We describe prevalence and underlying cause of unmet caregiving needs for sepsis survivors receiving HHC, using HHC patient assessment data for 85,851 older sepsis survivors receiving post-acute HHC in 2013-2014. Unmet caregiving needs were most common for assistance with Activities of Daily Living (ADLs) (28%) and medication administration (27%). Caregivers' need for training accounted for more than three-fourths of all unmet caregiving needs. Those who experienced decline/no improvement in cognitive function were more likely to experience unmet caregiving needs. Findings highlight the potential value of expanding family caregiver training to improve HHC outcomes for sepsis survivors and indicate that caregivers of sepsis survivors with poor cognitive function may benefit most.
在医疗保险家庭保健护理（HHC）期间，家庭护理人员援助的未满足需求威胁着患者的治疗效果。脓毒症幸存者在 HHC 患者群体中所占比例不断增加，但对于他们的未满足护理需求风险知之甚少。我们描述了接受 HHC 的脓毒症幸存者的未满足护理需求的流行情况和根本原因，使用了 2013-2014 年接受急性后 HHC 的 85851 名老年脓毒症幸存者的 HHC 患者评估数据。在日常生活活动（ADL）（28%）和药物管理（27%）方面，最常见的是对家庭护理人员援助的需求未得到满足。超过四分之三的未满足护理需求是由于护理人员需要培训。那些认知功能下降/无改善的患者更有可能出现未满足的护理需求。这些发现强调了扩大家庭护理人员培训的潜在价值，以改善脓毒症幸存者的 HHC 治疗效果，并表明认知功能差的脓毒症幸存者的护理人员可能受益最大。
