A national census of care home residents
A national census of care home residents
复制标题
DOI：
10.1093/ageing/afh177
复制
发表时间：
2004-11-01
期刊：
影响因子：
6.7
通讯作者：
Ellerby, M
中科院分区：
文献类型：
--
作者：
Bowman, C;Whistler, J;Ellerby, M
背景：英国养老院居民的医疗和依赖特征尚未得到很好的描述。这破坏了护理委托、发展和监管。需要数据来为政策和实践提供信息。目的：调查由英国最大的护理提供者管理的分布在英国各地的244个护理之家的16,043人的依赖和临床诊断。结果：(i)回收率为97%（15,483个适合分析的结果）。（ii） 25%为“住宿”服务，75%为“护理”服务。（三）超过九成的住院病人入院的原因是疾病及相关残疾，而非非特定的身体虚弱及社会需要。（iv）超过50%的居民患有痴呆症、中风或其他神经退行性疾病。总的来说，76%的居民在行动方面需要协助或无法行动。78%的人至少有一种形式的精神障碍，71%的人失禁。27%的人行动不便、神志不清、大小便失禁。（六）观察到住院和护理之间的依赖性有相当大的重叠：住院护理中只有40%的人在没有帮助的情况下走动，46%的人大小便失禁。结论：取得安老院居民资讯的可行性已被证实。人们在护理院的护理需求在很大程度上取决于进行性慢性疾病。在进入护理服务时进行单一的评估和委托不太可能满足不断变化的需求。机构长期护理的替代方案应仅在当前居民概况、提供替代模式的实用性和可能预测的人口需求的背景下考虑。
Background: the medical and dependency characteristics of UK care home residents have not been well described. This undermines care commissioning, development and regulation. Data to inform policy and practice are needed.Objective: to survey the dependency and clinical diagnoses of 16,043 people resident in the 244 care homes distributed across the UK managed by the largest provider of care in the UK.Results: (i) Return rate of 97% (15,483 returns suitable for analysis). (ii) 25% were 'residential' and 75% in 'nursing' care. (iii) Medical morbidity and associated disability rather than non-specific frailty and social needs had driven admission in over 90% of residents. (iv) More than 50% of residents had dementia, stroke or other neurodegenerative disease. (v) Overall, 76% of residents required assistance with their mobility or were immobile. 78% had at least one form of mental impairment and 71% were incontinent. 27% of the population were immobile, confused and incontinent. (vi) Considerable overlap in dependency between residential and nursing care observed: only 40% of those in residential care were ambulant without assistance and 46% were incontinent.Conclusions: the practicality of acquiring information on care home residents has been demonstrated. The care needs of people in care homes are largely determined by progressive chronic diseases. A single assessment and commissioning at the point of entry to care services is unlikely to address changing needs. Alternatives to institutional long-term care should only be considered in the context of current resident profiles, the practicality of providing alternative models and likely projected population needs.