Haddad L B
J Am Geriatr Soc. 1981 Feb;29(2):86-8. doi: 10.1111/j.1532-5415.1981.tb01234.x.
A study was designed to measure the impact of intra-hospital relocation upon elderly patients transferred to intermediate, skilled nursing, or psychiatric care facilities. The subjects were 389 elderly residents of a psychiatric hospital. Their mean age was 76.2 years, and mean length of hospitalization 22.4 years. A before-and-after analysis was made of behavior rating scores, and the mortality rate was compared with baseline values. The findings indicated that, for this type of reorganization, no deterioration was evident in the measured behaviors, nor did the move cause sufficient stress to have a substantial impact on mortality. It was concluded that, contrary to numerous reports in the literature, the mass relocation of elderly patients for the purpose of delivering more appropriate treatment services does not necessarily have detrimental effects. Additional research is required to account for outcomes related to the interaction between more specific personal characteristics and environmental components.
一项研究旨在衡量医院内部转移对转至中级、专业护理或精神科护理机构的老年患者的影响。研究对象为一家精神病院的389名老年住院患者。他们的平均年龄为76.2岁，平均住院时间为22.4年。对行为评分进行了前后分析，并将死亡率与基线值进行了比较。研究结果表明，对于这种类型的重组，所测量的行为没有明显恶化，转移也没有造成足够的压力对死亡率产生重大影响。得出的结论是，与文献中的众多报道相反，为提供更合适的治疗服务而大规模转移老年患者不一定会产生有害影响。需要进行更多研究，以解释与更具体的个人特征和环境因素之间的相互作用相关的结果。
