al-Shammari S, Jarallah J S, Felimban F
Department of Family and Community Medicine, College of Medicine, Riyadh, Saudi Arabia.
Soc Sci Med. 1997 Mar;44(5):693-7. doi: 10.1016/s0277-9536(96)00196-7.
The objective of this study was to ascertain the clinical and epidemiological pattern of long-term care inpatients in Saudi Arabia. A cross-sectional survey of all long-term care inpatients facilities in the Ministry of Health was conducted during the period January-June 1994. Trained research teams consisting of physicians, social workers, nurses and medical record officers completed a pre-designed data form. They interviewed the treating teams, patients and their relatives. The data form consisted of socio-demographic data of patients, the duration of their stay in hospital and their clinical, social and psychological characteristics. In addition, the perceptions and preferences of doctors, patients, and their relatives about patient management in hospital vs home care were sought. Out of all patients, 61.3% were males, while 52.7% were elderly patients (> or = 60 years of age). Forty-three percent did not need any nursing care or required only routine nursing care. The treating doctors believed that 44.9% of patients could be cared for at home. However, 45.2% of the patients preferred to stay in hospital, while 67.5% of their relatives preferred institutional care. It is concluded that there is a need to plan for more cost-effective facilities for these patients. The proposed health services have to be culturally acceptable in order to encourage patients and their relatives to utilize them.
本研究的目的是确定沙特阿拉伯长期护理住院患者的临床和流行病学模式。1994年1月至6月期间，对卫生部所有长期护理住院设施进行了横断面调查。由医生、社会工作者、护士和病历管理人员组成的经过培训的研究团队填写了预先设计的数据表格。他们采访了治疗团队、患者及其亲属。数据表格包括患者的社会人口统计学数据、住院时间以及他们的临床、社会和心理特征。此外，还询问了医生、患者及其亲属对住院治疗与家庭护理中患者管理的看法和偏好。在所有患者中，61.3%为男性，52.7%为老年患者（≥60岁）。43%的患者不需要任何护理或仅需要常规护理。主治医生认为44.9%的患者可以在家中得到护理。然而，45.2%的患者更愿意住院，而67.5%的患者亲属更倾向于机构护理。得出的结论是，有必要为这些患者规划更具成本效益的设施。提议的医疗服务必须在文化上是可接受的，以鼓励患者及其亲属使用这些服务。
