Hays B J, Willborn E H
University of Nebraska Medical Center, College of Nursing, Omaha, USA.
Public Health Nurs. 1996 Feb;13(1):58-64. doi: 10.1111/j.1525-1446.1996.tb00219.x.
Nurses who plan and supervise home health aide service must have a good understanding of the amount and intensity of nursing care and the amount of home health aide service that individual clients will need. However, there is little in the nursing literature that describes how clients who receive both RN and home health aide services differ from clients who receive only RN care. Indeed, there have been few reports on how need for home health aide service relates to the amount of nursing care received. Secondary analysis of data from a study on resource consumption in home care revealed that clients who receive home health aide service: 1) are older; 2) are more likely to be women; 3) have a higher rating using the Community Health Intensity Rating Scale; and 4) are discharged from the caseload due to death or institutionalization at a higher rate than those who receive only RN care. Clients who received both home health aide services and RN care needed assistance with activities of daily living, but they also required more RN care than did clients who received only RN care. These data hold implications for nurses in addressing agency staffing, focusing home health aide training, and advocating for resources to address service needs of this segment of their care population.
规划和监督家庭健康助理服务的护士必须充分了解护理的数量和强度，以及各个客户所需的家庭健康助理服务的数量。然而，护理文献中几乎没有描述接受注册护士（RN）和家庭健康助理服务的客户与仅接受注册护士护理的客户有何不同。事实上，关于家庭健康助理服务需求与所接受护理数量之间的关系，几乎没有相关报告。对一项家庭护理资源消耗研究的数据进行二次分析发现，接受家庭健康助理服务的客户：1）年龄更大；2）女性比例更高；3）使用社区健康强度评级量表的评分更高；4）与仅接受注册护士护理的客户相比，因死亡或入住机构而从病例组中出院的比例更高。接受家庭健康助理服务和注册护士护理的客户在日常生活活动方面需要帮助，但他们也比仅接受注册护士护理的客户需要更多的注册护士护理。这些数据对护士在解决机构人员配备、聚焦家庭健康助理培训以及倡导资源以满足其护理人群中这一部分的服务需求方面具有启示意义。
