Please use this identifier to cite or link to this item:
https://ah.lib.nccu.edu.tw/handle/140.119/104944
DC Field | Value | Language |
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dc.contributor | 心理系 | - |
dc.creator | Liu, Chia-Yih | - |
dc.creator | 劉嘉逸 | zh_TW |
dc.creator | Tsai, Hsiu-Hsin; | en_US |
dc.creator | Tsai, Yun-Fang | en_US |
dc.date | 2016-11 | - |
dc.date.accessioned | 2016-12-15T08:10:15Z | - |
dc.date.available | 2016-12-15T08:10:15Z | - |
dc.date.issued | 2016-12-15T08:10:15Z | - |
dc.identifier.uri | http://nccur.lib.nccu.edu.tw/handle/140.119/104944 | - |
dc.description.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. | - |
dc.format.extent | 109 bytes | - |
dc.format.mimetype | text/html | - |
dc.relation | Journal of the American Medical Directors Association, Volume 17, Issue 11, Pages 1020–1024 | - |
dc.subject | Repeated hospital transfer; nursing home residency | - |
dc.title | Repeated Hospital Transfers and Associated Outcomes by Residency Time Among Nursing Home Residents in Taiwan | - |
dc.type | article | - |
dc.identifier.doi | 10.1016/j.jamda.2016.06.019 | - |
dc.doi.uri | http://dx.doi.org/10.1016/j.jamda.2016.06.019 | - |
item.cerifentitytype | Publications | - |
item.fulltext | With Fulltext | - |
item.grantfulltext | restricted | - |
item.openairetype | article | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
Appears in Collections: | 期刊論文 |
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