Janzing J G, Hodiamont P P, van't Hof M A, Teunisse R J, Zitman F G
Afdeling Psychiatrie, Academisch Ziekenhuis Nijmegen.
Tijdschr Gerontol Geriatr. 1995 Oct;26(5):200-4.
To investigate the role which standardised, patient related data play in indicated admission to a psychogeriatric nursing home, we compared the data of 120 indicated with those of 68 not-indicated patients. High scores on subscales 'helplessness' and 'inactivity' of the Dutch version of the Stockton Geriatric Rating Scale were the best predictors of indicated admission to a certain extent (21.6%). Furthermore a history of cardiac diseases and the state of being unmarried increased the probability of indicated admission to a small degree. Only a limited percentage of the variance in the decision of the indication committee could be explained. The limited availability of data which are collected in a standardised way, especially data concerning the caregiving system and the absence of valid and reliable instruments for the investigation of indicated admission are the most probable causes of this fact.
为研究标准化的、与患者相关的数据在老年精神病护理院指定入院中所起的作用,我们比较了120名被指定入院患者与68名未被指定入院患者的数据。荷兰版斯托克顿老年评定量表“无助感”和“不活动”分量表的高分在一定程度上是指定入院的最佳预测指标(21.6%)。此外,心脏病史和未婚状态在小程度上增加了指定入院的可能性。指示委员会决策中的差异只能解释有限的百分比。以标准化方式收集的数据可用性有限,尤其是关于护理系统的数据,以及缺乏用于调查指定入院的有效可靠工具,这很可能是造成这一事实的原因。