Association between home-visit nursing use and the occurrence of unfavorable health outcomes among community-dwelling older adults: A prospective cohort study.

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.