Exploring the associations between long-term care and mortality rates among stroke patients.

Kun Yang Chuang, Shwu Chong Wu, Mei Chang Yeh, Yu Hui Chen, Chen Long Wu

研究成果: 雜誌貢獻文章

14 引文 (Scopus)

摘要

Information on types of long-term care received by stroke patients after hospital discharge is essential for the formulation of long-term care resource development policy. Comparisons of outcomes resulting from different types of long-term care can provide important considerations in the selection of long- term care services. The purpose of this study is to describe the patterns of long-term care received, and to explore if associations exist between long-term care services and mortality status among stroke patients after hospital discharge. Using a longitudinal quasi-experimental study design, this study collected information on the type of long-term care received at 1, 3, and 6 months after discharge for 714 patients. At one month after discharge, 4.5 % had died, and 22.1 % had regained all functions in activities of daily living and instrumental activities of daily living. The percentage of patients receiving institutional care, home or community-based care, and family care only were 10.4 % , 22.4 % , and 40.7 % respectively. The respective percentages at 3 months after discharge were 11.2 % , 18.7 % , and 38.0 % , and, at 6 months after discharge, 10.3 % , 19.4 % , and 30.9 % . After adjusting for age, sex, previous incidence of stroke, and physical functions, the odds of dying within 6 months after discharge for stroke patients receiving home or community-based care was significantly lower than those in institutions ( OR = 0.39; 95 % CI = 0.15 to 0.97 ). It is not clear why a lower mortality rate was observed among patients receiving home or community-based services. Differences in quality of care and quality of life among users of different types of long-term care services should be investigated. More research is needed to assess the causes of the disparity in mortality rates among users of different types of long-term care services.
原文英語
頁(從 - 到)66-74
頁數9
期刊The journal of nursing research : JNR
13
發行號1
出版狀態已發佈 - 三月 2005

指紋

Long-Term Care
Stroke
Mortality
Activities of Daily Living
Patient Discharge
Social Welfare
Quality of Health Care
Policy Making
Home Care Services
Research Design
Quality of Life
Incidence
Research

Keywords

  • cerebrovascular accident
  • long term care
  • multivariate analysis

引用此文

Exploring the associations between long-term care and mortality rates among stroke patients. / Chuang, Kun Yang; Wu, Shwu Chong; Yeh, Mei Chang; Chen, Yu Hui; Wu, Chen Long.

於: The journal of nursing research : JNR, 卷 13, 編號 1, 03.2005, p. 66-74.

研究成果: 雜誌貢獻文章

Chuang, Kun Yang ; Wu, Shwu Chong ; Yeh, Mei Chang ; Chen, Yu Hui ; Wu, Chen Long. / Exploring the associations between long-term care and mortality rates among stroke patients. 於: The journal of nursing research : JNR. 2005 ; 卷 13, 編號 1. 頁 66-74.
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abstract = "Information on types of long-term care received by stroke patients after hospital discharge is essential for the formulation of long-term care resource development policy. Comparisons of outcomes resulting from different types of long-term care can provide important considerations in the selection of long- term care services. The purpose of this study is to describe the patterns of long-term care received, and to explore if associations exist between long-term care services and mortality status among stroke patients after hospital discharge. Using a longitudinal quasi-experimental study design, this study collected information on the type of long-term care received at 1, 3, and 6 months after discharge for 714 patients. At one month after discharge, 4.5 {\%} had died, and 22.1 {\%} had regained all functions in activities of daily living and instrumental activities of daily living. The percentage of patients receiving institutional care, home or community-based care, and family care only were 10.4 {\%} , 22.4 {\%} , and 40.7 {\%} respectively. The respective percentages at 3 months after discharge were 11.2 {\%} , 18.7 {\%} , and 38.0 {\%} , and, at 6 months after discharge, 10.3 {\%} , 19.4 {\%} , and 30.9 {\%} . After adjusting for age, sex, previous incidence of stroke, and physical functions, the odds of dying within 6 months after discharge for stroke patients receiving home or community-based care was significantly lower than those in institutions ( OR = 0.39; 95 {\%} CI = 0.15 to 0.97 ). It is not clear why a lower mortality rate was observed among patients receiving home or community-based services. Differences in quality of care and quality of life among users of different types of long-term care services should be investigated. More research is needed to assess the causes of the disparity in mortality rates among users of different types of long-term care services.",
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