The provision of care for residents dying in UK nursing care homes
The provision of care for residents dying in UK nursing care homes
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DOI：
10.1093/ageing/aft158
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发表时间：
2014-05-01
期刊：
影响因子：
6.7
通讯作者：
Sykes, Nigel
中科院分区：
文献类型：
--
作者：
Kinley, Julie;Hockley, Jo;Sykes, Nigel
目的：确定目前提供给英国养老院死亡居民的护理。方法：研究参与者是在英格兰东南部的38家养老院中去世的居民，时间超过3年。这些护理院被招募参加一项随机对照试验，在实施护理院黄金标准框架计划时，观察不同的促进模式。两位研究人员检查了2008年6月1日至2011年5月31日期间在这些家庭中死亡的所有居民的笔记和日常记录。结果：3年期间共有2444名居民死亡。其中56%的患者在入院一年内死亡。在居民生命的最后6个月，专业医疗保健服务对他们的支持是不同的。结论：养老院与一些外部医疗保健提供者建立了联系。这些联系包括全科医生、姑息治疗护士和物理治疗。随着居民的依赖增加，56%的居民在入院一年内死亡，这些联系需要扩大。满足未来养老院居民需求的医疗保健服务需要“主动”获得，而不是听凭运气。
Objectives: to identify the care currently provided to residents dying in UK nursing care homes.Method: study participants were residents who had died within 38 nursing care homes in southeast England over a 3-year period. The nursing care homes had been recruited to take part in a cluster randomised controlled trial looking at different models of facilitation while implementing the Gold Standards Framework in Care Homes (GSFCH) programme. Two researchers examined the notes and daily records of all residents who died in each of these homes between the 1 June 2008 and the 31 May 2011.Results: a total of 2,444 residents died during the 3-year period. Fifty-six percent of these residents died within a year of admission. The support from specialist healthcare services to residents during their last 6 months of life was variable.Conclusions: nursing care homes have established links with some external healthcare providers. These links included the GP, palliative care nurses and physiotherapy. As dependency of resident increase with 56% residents dying within a year of admission these links need to be expanded. The provision of health care that meets the needs of future nursing care home residents needs to be 'proactively' obtained rather than left to chance.