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https://nccur.lib.nccu.edu.tw/handle/140.119/104944
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| Title: | Repeated Hospital Transfers and Associated Outcomes by Residency Time Among Nursing Home Residents in Taiwan |
| Authors: | Liu, Chia-Yih
劉嘉逸
Tsai, Hsiu-Hsin
Tsai, Yun-Fang |
| Contributors: | 心理系 |
| Keywords: | Repeated hospital transfer;nursing home residency |
| Date: | 2016-11 |
| Issue Date: | 2016-12-15 16:10:15 (UTC+8) |
| Abstract: | Background : Nursing home residents` repeated transfers to hospital are costly and can lead to in-hospital complications and high mortality for frail residents. However, no research has examined the trajectory of residents’ symptoms over their nursing home residency and its relationship to hospital transfer. Aim : The purpose of this retrospective chart-review study was to examine associations between nursing home residents’ characteristics, including length of residency, and repeated hospital transfers as well as the trajectory of transfers during residency. Design : For this retrospective study, we reviewed 583 residents’ charts in 6 randomly selected nursing homes from northern Taiwan. Data were analyzed by descriptive statistics, chi-squared tests, and 1-way analysis of variance. Results : About half of nursing home residents who had been transferred to hospital (n = 320) were transferred more than twice during their residency (50.97%). Residents who had been transferred 1, 2, 3, or ≥4 times differed significantly in length of residency (F = 3.85, P = .01), physical status (F = 2.65, P = .05), medical history of pneumonia (χ2 = 13.03, P = .01), and fractures (χ2 = 8.52, P = .04). Residents with different numbers of transfers differed significantly in their reasons for transfer, that is, falls (χ2 = 13.01, P = .01) and tube problems (χ2 = 8.87, P = .03). Among 705 total transfers, fever was the top reason for transfer, and transfer prevalence increased with nursing home residency. Conclusion : To decrease the chance of residents’ hospital transfer, nursing home staff should be educated about recognizing and managing fever symptoms, infection-control programs such as influenza vaccination should be initiated, and fall-prevention/education programs should be started when residents first relocate to nursing homes. |
| Relation: | Journal of the American Medical Directors Association, Volume 17, Issue 11, Pages 1020–1024 |
| Data Type: | article |
| DOI 連結: | http://dx.doi.org/10.1016/j.jamda.2016.06.019 |
| DOI: | 10.1016/j.jamda.2016.06.019 |
| Appears in Collections: | [心理學系] 期刊論文
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