养老院的以患者为中心的护理与 COVID-19 感染、住院和死亡率之间的关系。
The relationship between person-centered care in nursing homes and COVID-19 infection, hospitalization, and mortality rates.
机构信息
Cecil G Sheps Center for Health Service Research, University of North Carolina, Chapel Hill, NC, USA.
Department of Interior Design & Fashion Studies, College of Health and Human Sciences, Kansas State University, KS, USA.
出版信息
Geriatr Nurs. 2023 May-Jun;51:253-257. doi: 10.1016/j.gerinurse.2023.03.012. Epub 2023 Apr 5.
OBJECTIVES
This cohort study compared rates of COVID-19 infections, admissions/readmissions, and mortality among a statewide person-centered model known as PEAK and non-PEAK NHs.
METHODS
Rates per 1000 resident days were derived for COVID-19 cases and admissions/readmissions, and per 100 positive cases for mortality. A log-rank test compared rates between PEAK (n = 109) and non-PEAK NHs (n = 112).
RESULTS
Rates of COVID-19 cases, admission, and mortality were higher in non-PEAK compared to PEAK NHs. The median rates for all indicators had a zero value for all NHs, but in NHs above 90th percentiles, the non-PEAK case rate was 3.9 times more and the admission/readmission rate was 2.5 times more.
CONCLUSIONS AND IMPLICATIONS
COVID-19 case, and mortality rates were lower in PEAK than non-PEAK NHs. Although PEAK and non-PEAK NHs may differ in other ways as well, person-centered care may be advantageous to promote infection control and improve outcomes.
目的
本队列研究比较了全州以患者为中心的模式（PEAK）和非-PEAK NH 与 COVID-19 感染、住院/再入院和死亡率之间的比率。
方法
COVID-19 病例和住院/再入院的发生率为每 1000 名居民天，死亡率为每 100 例阳性病例。对数秩检验比较了 PEAK（n=109）和非-PEAK NH（n=112）之间的比率。
结果
非-PEAK 与 PEAK NH 相比，COVID-19 病例、入院和死亡率更高。所有 NH 的所有指标的中位数率均为零，但在第 90 百分位以上的 NH 中，非-PEAK 病例率高出 3.9 倍，住院/再入院率高出 2.5 倍。
结论和意义
PEAK 比非-PEAK NH 的 COVID-19 病例和死亡率更低。尽管 PEAK 和非-PEAK NH 可能在其他方面也有所不同，但以患者为中心的护理可能有利于促进感染控制和改善结果。
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