Identification of needs of and utilization of resources by rural and urban elders after hospital discharge to the home.
Identification of needs of and utilization of resources by rural and urban elders after hospital discharge to the home.
复制标题
确定农村和城市老年人出院回家后的资源需求和利用情况。
DOI：
10.1111/j.1525-1446.1997.tb00407.x
复制
发表时间：
1997
期刊：
影响因子：
--
通讯作者：
Schultz,AA
中科院分区：
文献类型：
--
作者：
Schultz,AA
最近住院时间的缩短可能特别影响到农村社区的老年人，因为那里的资源可能很稀缺。这项描述性比较研究的目的是评估和评价正式和非正式资源与农村和城市老年人在出院回家后21天过渡期内的个人功能，行为，知识和熟练护理需求的匹配。选择了81名出院到1个城市和2个边境农村县的老年患者。农村和城市参与者之间的人口统计学变量没有显着差异。综合卫生保健需求评估（CHCNA）问卷用于评估出院后3天和3周的需求和资源利用情况。使用重复测量方差分析，出院后3周确定的需求明显少于出院后3天。农村居民比城市居民确定了更多的技术护理需求;但是，没有一项是高度技术性的。出乎意料的是，在出院后3周，相当多的功能需求得到满足的家庭在城市环境比在农村环境。虽然只有少数参与者报告了多个领域的未满足需求，但未满足需求的复杂性需要进一步探讨。
The recent reductions in lengths of hospital stays may particularly affect the elderly in rural communities where resources may be scarce. The purpose of this descriptive, comparative study was to assess and evaluate the match of formal and informal resources with individual functional, behavioral, knowledge, and skilled care needs of rural and urban elderly during a 21‐day transition period following hospital discharge to the home. Eighty‐one elderly patients discharged to one urban and two frontier rural counties were selected. There were no significant differences in demographic variables between rural and urban participants. The Comprehensive Health Care Needs Assessment (CHCNA) questionnaire was used to assess needs and utilization of resources at 3 days and 3 weeks after discharge. Using repeated measure analyses of variance, there were significantly fewer needs identified at 3 weeks than at 3 days after discharge. Rural dwellers identified significantly more skilled care needs than their urban counterparts; however, none were highly technical in nature. Unexpectedly, at 3 weeks after discharge, considerably more functional needs were met by families in the urban setting than in the rural setting. Although only a small number of participants reported unmet needs in multiple domains, the complexity of the unmet needs requires further exploration.