Abstract：
AIM:This paper is a report of a study to examine the relationship between health-related admission factors and post-hospital physical function at 3, 6, 9 and 12 months in older adult nursing facility residents. BACKGROUND:Physical functional decline is a significant health problem for older adults and has far-reaching effects. In particular, the immediate post-hospital period is a high-risk time, because shortened hospital stays make it likely that older patients are discharged in a state of incomplete recovery. METHOD:Data spanning from July 2002 to June 2005 were extracted from a comprehensive assessment tool, the Minimum Data Set, for 38,591 beneficiaries of a federal health insurance programme covering older adults in the Midwestern region of the United States of America. We investigated relationships between admission factors and post-hospital physical function at 3, 6, 9 and 12 months. The admission factors were health-related variables assessed at the time of skilled nursing facility admission from an acute care hospital. FINDINGS:The most important admission factors related to post-hospital physical function at 3, 6, 9 and 12 months were baseline physical function, urinary incontinence and pressure ulcer. Cognitive impairment at admission demonstrated a stronger relationship with poor physical function as resident length of stay increased. CONCLUSION:Nurses in skilled nursing facilities should screen post-hospital older adults for risk of physical functional decline at admission using identified admission factors. For continuous nursing care, older adults need to be assessed at least once a month during the first 3 months after hospital discharge.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Lee J,Rantz Mdoi
10.1111/j.1365-2648.2008.04612.xsubject
Has Abstractpub_date
2008-05-01 00:00:00pages
479-86issue
4eissn
0309-2402issn
1365-2648pii
JAN4612journal_volume
62pub_type
杂志文章abstract：BACKGROUND:Autonomy plays an important part in nurses' job satisfaction and retention, but the literature shows that they are often dissatisfied with this aspect and want better working conditions and greater autonomy in decision-making. AIMS:The aim of this study was to examine the role that nurse managers have in en...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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更新日期：2004-02-01 00:00:00
abstract：:Waiting lists for coronary artery bypass surgery (CABS) are common in many developed countries. Yet, there is limited information available regarding patients' health care needs at this time. This paper reports on a prospective study which aimed to investigate the experience of waiting for CABS from a qualitative pers...
journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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更新日期：1990-06-01 00:00:00
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
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journal_title：Journal of advanced nursing
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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