Oktay J S, Volland P J
School of Social Work and Community Planning, University of Maryland at Baltimore 21201.
Am J Public Health. 1987 Dec;77(12):1505-10. doi: 10.2105/ajph.77.12.1505.
This paper describes a program (Community Care Program) in which some elderly hospital patients who were candidates for nursing home placement were placed in foster homes. Caregivers were carefully trained and supervised. A total of 112 elderly inpatients were randomly assigned to placement in a nursing home or a foster care home. Patients and caregivers were interviewed at 3, 6, 9, and 12 months after placement. Community Care Program patients were more likely to maintain or improve ADL (activities of daily living) and mental status scores. They also had better nursing outcomes and were more likely to get out of the house than were nursing home patients. Nursing home patients had higher life satisfaction, and participated in more social and recreational activities. The Community Care Program was 17 per cent less costly than nursing home care. The results suggest that foster care may be a viable alternative for a segment of the nursing home population.
本文描述了一个项目（社区护理项目），该项目将一些本应入住养老院的老年住院患者安置在了寄养家庭。对护理人员进行了精心培训和监督。共有112名老年住院患者被随机分配到养老院或寄养家庭。在安置后的3个月、6个月、9个月和12个月对患者及护理人员进行了访谈。参与社区护理项目的患者更有可能维持或改善日常生活活动（ADL）及精神状态评分。他们的护理效果也更好，并且比养老院患者更有可能走出家门。养老院患者的生活满意度更高，参与的社交和娱乐活动更多。社区护理项目的成本比养老院护理低17%。结果表明，寄养护理可能是一部分养老院人群的可行替代方案。
