Transitions between community and nursing home residence in an urban elderly population.
Transitions between community and nursing home residence in an urban elderly population.
复制标题
城市老年人口在社区和疗养院居住之间的转变。
DOI：
10.1007/bf01321315
复制
发表时间：
1990
影响因子：
5.9
通讯作者：
Thomas,C
中科院分区：
文献类型：
--
作者：
Kelman,HR;Thomas,C
在为期三年的观察和研究期间，约有6%的代表性社区居住的城市老年人口被送入养老院。在观察期结束时，近一半的人仍然住在养老院。三分之一的人在进入养老院后死亡，其余的人已经回到了他们在社区的家中。这三组在疗养院的平均停留时间有显著差异；长期住院的患者为近两年，短期住院的患者为50天，入院后死亡的患者平均为153天。在基线时，这三组也往往具有不同的健康、功能和社会特征模式。短期留宿者和在入住养老院后死亡的人与没有入住养老院的人不同，主要是在先前的生活安排和社会支持水平方面。永久住客与其他两个养老院亚组和社区居民不同，因为他们往往年龄更大，功能和智力受损更严重。然而，在基线时，他们的死亡风险似乎比那些后来在疗养院死亡的人要低。本文讨论了基于这些发现的临床和研究意义。
Over the course of a three year observation and study period, some 6% of a representative community residing urban elderly population were admitted to nursing homes. Nearly half of this group were still living in nursing homes at the end of this observation period. One third had died after entering the nursing home, and the remaining people had returned to their own homes in the community. These three groups had significantly different mean lengths of stay in nursing homes; nearly two years for those whose stays were more permanent, 50 days for those whose stays were short-term, and 153 days on average for those who died following admission.At baseline, the three groups also tended to have different patterns of health, functional and social characteristics. The short term stayers and those who died following admission to a nursing home differed from respondents who did not enter nursing homes—primarily in terms of prior living arrangements and levels of social support. The permanent stayers differed from the two other nursing home sub-groups, and from community residents, in that they tended to be older and more functionally and mentally impaired. However, at baseline they appeared at less risk to expire than those people who later died following admission to nursing homes.Clinical and research implications based on these findings are discussed.