Eltaybani Sameh, Anezaki Saori, Fukui Chie, Igarashi Ayumi, Sakka Mariko, Noguchi-Watanabe Maiko, Inagaki-Asano Asa, Kojima Taro, Yamamoto-Mitani Noriko
Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; Department of Gerontological Homecare and Long-term Care Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Department of Gerontological Homecare and Long-term Care Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Geriatr Nurs. 2025 May-Jun;63:661-669. doi: 10.1016/j.gerinurse.2025.04.010. Epub 2025 May 13.
This prospective cohort study examined the association between home-visit nursing use and the occurrence of unfavorable health outcomes (UHOs) among community-dwelling older adults (≥75 years) across Japan. An online survey collected data about older people's characteristics (household composition, diagnosis, etc.) and the occurrence of 21 UHOs (e.g., hospitalization, respiratory infection, sleeping disorders, lack of serenity) twice a year apart. The analysis included 835 older adults (58.2% were female, and 39.4% had dementia). Controlling for participants' characteristics and the occurrence of UHOs at the baseline, regression analyses revealed that home-visit nursing use was associated with statistically significant lower occurrence rates of lack of social interaction, social isolation, neglecting the client's desired care, urinary tract infection, and poor family well-being, as well as lower incidence rate of the total number of UHOs. The results demonstrate the favorable contribution of home-visit nursing in minimizing the occurrence of UHOs among older people.
这项前瞻性队列研究调查了日本社区居住的老年人（≥75岁）中家庭访视护理的使用与不良健康结局（UHOs）发生之间的关联。一项在线调查每年两次收集有关老年人特征（家庭构成、诊断等）以及21种UHOs（例如住院、呼吸道感染、睡眠障碍、缺乏宁静感）发生情况的数据。分析纳入了835名老年人（58.2%为女性，39.4%患有痴呆症）。在控制参与者的特征以及基线时UHOs的发生情况后，回归分析显示，使用家庭访视护理与社交互动缺乏、社会隔离、忽视患者期望的护理、尿路感染和家庭幸福感差的发生率在统计学上显著降低相关，同时UHOs总数的发生率也较低。结果表明家庭访视护理在减少老年人中UHOs的发生方面具有积极作用。
