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    题名: Repeated Hospital Transfers and Associated Outcomes by Residency Time Among Nursing Home Residents in Taiwan
    作者: Liu, Chia-Yih
    劉嘉逸
    Tsai, Hsiu-Hsin
    Tsai, Yun-Fang
    贡献者: 心理系
    关键词: Repeated hospital transfer;nursing home residency
    日期: 2016-11
    上传时间: 2016-12-15 16:10:15 (UTC+8)
    摘要: 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.
    關聯: Journal of the American Medical Directors Association, Volume 17, Issue 11, Pages 1020–1024
    数据类型: article
    DOI 連結: http://dx.doi.org/10.1016/j.jamda.2016.06.019
    DOI: 10.1016/j.jamda.2016.06.019
    显示于类别:[心理學系] 期刊論文

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