Ballard S, McNamara R
Nurs Res. 1983 Jul-Aug;32(4):236-41.
A study was conducted to determine what factors were most predictive of the quantity of nursing service and total agency service required by cardiac and cancer patients in home-care agencies. A retrospective record review on 397 patients in 9 randomly selected Connecticut home-care agencies collected demographic data on referral and payment source, support system, discharge status, primary care provider, and health status, as well as total number of professional and nonprofessional visits and length of stay. The Health Status Score, which measured deficits in daily activities and nursing problems, proved to be the best predictor. The ability of the Health Status Score to predict the need for total agency visits was particularly strong for cancer patients. The agency variable was a significant predictor of resource utilization, especially for cardiac patients. A significant limitation of the study was the inconsistency among the agencies regarding closure of records. Future research into resource use in home care depends on consistent and complete recording practices across agencies.
一项研究旨在确定哪些因素最能预测家庭护理机构中心脏病和癌症患者所需的护理服务量及机构总服务量。对康涅狄格州9家随机选取的家庭护理机构中的397名患者进行了回顾性记录审查，收集了有关转诊和支付来源、支持系统、出院状态、初级保健提供者和健康状况的人口统计学数据，以及专业和非专业探访的总数和住院时间。健康状况评分衡量了日常活动中的缺陷和护理问题，结果证明是最佳预测指标。健康状况评分预测机构总探访需求的能力在癌症患者中尤为突出。机构变量是资源利用的重要预测指标，尤其是对心脏病患者而言。该研究的一个重大局限是各机构在记录封存方面存在不一致。未来对家庭护理资源使用的研究取决于各机构一致且完整的记录做法。
