Determinants of discharge destination for stroke patients.
Determinants of discharge destination for stroke patients.
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中风患者出院目的地的决定因素。
DOI：
10.1002/j.2048-7940.2004.tb00338.x
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Lutz,BarbaraJ
中科院分区：
文献类型：
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作者：
Lutz,BarbaraJ
出院到社区是康复设施的一项重要成果措施。研究一直发现，在功能独立性测量™(FIM)上得分较高的中风患者更有可能出院到社区。其他变量，包括年龄、性别和生活状况，也显示了与中风患者出院目的地的关系。这项研究探讨了出院到社区的中风患者和在急性住院康复单元停留一段时间后出院到疗养院的患者之间的差异。结果表明，年龄较大的患者和入院FIM评分较低的患者更有可能出院到养老院，但许多符合这一特征的患者会出院到社区。主要的目的地决定因素是患者对护理的需求与非正式护理资源的匹配程度。这些发现表明，需要对可用的护理资源进行额外的重点评估。
Discharge to community is an important outcome measure for rehabilitation facilities. Studies consistently find that stroke patients with higher scores on the Functional Independence Measure™(FIM) are more likely to be discharged to the community. Other variables, including age, gender, and living status, also have shown a relationship to discharge destination for stroke patients. This study explored the differences between stroke patients who were discharged to the community and those who were discharged to a nursing home after a stay on an acute inpatient rehabilitation unit. Results indicated that older patients and those with lower admission FIM scores are more likely to be discharged to nursing homes, but many patients who fit this profile are discharged to the community. The main destination determinant was how well a patient's need for care matched informal caregiving resources. These findings indicate a need for additional focused assessment of available care giving resources.