MENTAL ILLNESS AND OUTCOMES OF NURSING HOME CARE

该项目是一项前瞻性研究300中级护理 在家的病人 本研究的目的是测量 精神疾病对护理量的影响 以及这种护理的结果。 研究设计为 如下所示： 1. 健康状况评估。 两名测量员将独立 使用Mini-Mental评估300名居民的认知能力 国家考试。 两名调查员将独立接受采访 评估行为问题和功能能力。 护理 诊断也将被分配。 此外，护理敏锐度和 护理强度也将被测量。 2.护理时间的测量。 健康评估后 状态，10%的分钟直接病人护理提供的每一个 在一个24小时期间，工作人员的类型将被记录。 在 同时，近期参加常规和治疗组 活动将被收集。 间接时间将从 工作人员的日记。 护理活动的模式，将 通过单元类型来测量（即，和人员配置 比率。 3.后续行动。 将在3个月时重复患者评估 间隔期为两年。 护理时间测量将 也可以每隔三个月重复一次。 4. 分析. LlSREL和后勤镇压将被用来 测量护理工作量之间的关系。 躯体功能障碍，行为问题，认知，护理 诊断，护理敏锐度，护理强度，人员配置 和护理的结果。

The project is a prospective study of 300 intermediate care nursing home patients. The objective of the study is to measure the effects of mental illness on the quantities of nursing care received and the outcomes of that care. The study design is as follows: 1. Assessment of health status. Two surveyors will independently assess the cognitive ability of 300 residents using the Mini-Mental State Examination. Two surveyers will be interviewed independently to assess behavioral problems and functional ability. Nursing diagnoses will also be assigned. In addition, nursing acuity and nursing intensity will also be measured. 2. Measurement of nursing time. After the assessment of health status, 10% of the minutes of direct patient care provided by each type of staff during one 24-hour period will be recorded. At the same time, recent participation in routine and therapeutic group activity will be collected. Indirect time will be collected from diaries maintained by staff. Patterns of nursing activity, will be measured by unit type (i.e., Alzheimers Unit) and staffing ratios. 3. Followup. Patient assessments will be repeated at three month intervals cover a two year period. Nursing time measurement will also be repeated at three month intervals. 4. Analysis. LlSREL and logistical repression will be used to measure the relationships among quantities of nursing care. Physical dysfunction, behavioral problem, cognition, nursing diagnoses, nursing acuity, nursing intensity, staffing patterns and the outcomes of care.