Garmendia Prieto Blanca, Sánchez Del Corral Usaola Francisco, Avilés Maroto Pilar, Ramírez Real Luís, Fernández Rodríguez Ana M ª, Gómez Pavón Javier
Servicio de Geriatría, Hospital Universitario Central de la Cruz Roja San José y Santa Adela, Madrid, España.
Servicio de Geriatría, Hospital Universitario Central de la Cruz Roja San José y Santa Adela, Madrid, España.
Rev Esp Geriatr Gerontol. 2022 Nov-Dec;57(6):291-297. doi: 10.1016/j.regg.2022.10.001. Epub 2022 Nov 14.
To describe the evolution of the profile of patients attended by a Geriatric Home Care (GHC) Unit and its care activity in the last two decades.
Data on the historical activity of the AGD Unit from 2001 to 2020, grouped into 5-year periods, were recorded. Sociodemographic, clinical, functional (Functional Red Cross Scale and Barthel index) and mental (Mental Red Cross Scale) variables were collected, baseline and at inclusion to AGD. Also the waiting time until first visit, mean follow-up, origin of referral, destination at the end of the intervention, reason for consultation and cause of functional dependence were also included. A descriptive analysis was performed with the SPSSv.23 program.
Ten thousand six hundred fifty-four patients attended in AGD (1 January 2001 to 31 December 2020). A progressive increase in age and in the number of geriatric syndromes was observed. Patients presented higher functional and cognitive decline, and the number of patients living alone and in need of private assistance increased. The duration of the intervention decreases and Primary Care remains the main source and destination at the end of the intervention, with dementia standing out as the main cause for functional dependence.
The vulnerability of the populations in need of specialised geriatric care is increasing: patients are older, and have more geriatric syndromes, high functional and cognitive decline, and suffer social frailty; more work is needed to address the role of these support units in the community, as well as their coordination with Primary Care teams.
描述老年家庭护理（GHC）单元接待患者的情况及其在过去二十年中的护理活动演变。
记录了2001年至2020年AGD单元按5年分组的历史活动数据。收集了社会人口统计学、临床、功能（功能红十字会量表和巴氏指数）和心理（心理红十字会量表）变量，包括基线数据和纳入AGD时的数据。还包括首次就诊的等待时间、平均随访时间、转诊来源、干预结束时的去向、咨询原因和功能依赖原因。使用SPSSv.23程序进行描述性分析。
AGD共接待了10654名患者（2001年1月1日至2020年12月31日）。观察到年龄和老年综合征数量呈逐渐增加趋势。患者的功能和认知下降程度更高，独居且需要私人护理的患者数量增加。干预持续时间缩短，初级保健仍然是干预结束时的主要来源和去向，痴呆症是功能依赖的主要原因。
需要专业老年护理的人群的脆弱性正在增加：患者年龄更大，患有更多老年综合征，功能和认知下降程度高，且存在社会脆弱性；需要做更多工作来明确这些支持单元在社区中的作用，以及它们与初级保健团队的协调。
