作者:Cynthia L. Port、Ann L. Gruber-Baldini、Lynda Burton、Mona Baumgarten、J. Richard Hebel、Sheryl Itkin Zimmerman、Jay Magaziner
DOI:10.1093/geront/41.5.589
日期:2001.10.1
Purpose: This study explored factors that are related to the level of contact (number of visits and calls) between newly admitted nursing home residents and their family and friends. In addition to reexamining factors studied previously, several new factors were explored: contact level prior to nursing home placement, dementia status, and resident race. Design and Methods: Interviews were conducted with the significant others of 1,441 residents from a representative sample of nursing homes in Maryland. Results: Contact decreased by approximately half following admission, compared to reported preadmission contact. Rates of contact are positively related to nonuse of Medicaid, kinship closeness, support network proximity, nondemented status, and White race. After controlling for preadmission contact, postadmission contact is positively associated with kinship closeness, support network proximity, nondemented status, and White race. Implications: The study identifies factors that are useful to consider when designing interventions to increase family involvement with nursing home residents.
目的:本研究探讨了与新入院护理院居民及其家人和朋友之间接触水平(访问和通话次数)相关的因素。除了重新审视之前研究的因素外,还探讨了几个新因素:入住护理院前的接触水平、痴呆状态和居民种族。设计与方法:对马里兰州一代表性样本中的1,441名居民的亲属进行了访谈。结果:入院后,接触频率相比入院前减少了约一半。接触频率与未使用医疗补助、亲属关系亲密度、支持网络的接近性、非痴呆状态和白人种族呈正相关。在控制了入院前接触后,入院后的接触与亲属关系亲密度、支持网络接近性、非痴呆状态和白人种族呈正相关。影响:本研究确定了在设计干预措施以增加家属与护理院居民的参与时需要考虑的有用因素。