ORIGINAL PAPER
Determinants of long-term home nursing care among people over 65 years of age
Submission date: 2016-08-28
Final revision date: 2017-02-20
Acceptance date: 2017-05-17
Publication date: 2018-06-30
Medical Studies 2018;34(2):141-146
KEYWORDS
TOPICS
ABSTRACT
Introduction:
With age comes increasing loss of efficiency, and thereby increasing dependence on others and increasing demand for nursing and care services
Aim of the research:
To determine the factors of demand for long-term home nursing care among people over 65 years old.
Material and methods:
The research was conducted on 504 subjects aged between 66 and 94 years. The qualified respondents for the long-term home-based nursing care scored no more than 40 points in Barthel’s Index. The following research tools were used: Barhel’s Index, IADL, GDS, AMTS, and an authorial interview questionnaire.
Results:
For long-term home-based nursing care 15.67% (n = 79) of subjects were qualified; there were more women (n = 61) than men (n = 18) (p < 0.05). The age of respondents qualified for long-term nursing care was higher than the age of other test subjects (p < 0.001). Among subjects qualified for long-term home-based nursing care there were more people with incomplete primary education (p < 0.01) and a higher number of multi-diseases than with the rest (p < 0.01). Moreover, people qualified for long-term nursing care had worsened agility to perform complex life activities and worsened cognitive and emotional performance (p < 0.001) than people who did not qualify for such services.
Conclusions:
The need for long-term nursing care was determined by progressing ageing, functional, emotional, and cognitive disorders, more frequent with women, people with low education, and multi-diseases.
With age comes increasing loss of efficiency, and thereby increasing dependence on others and increasing demand for nursing and care services
Aim of the research:
To determine the factors of demand for long-term home nursing care among people over 65 years old.
Material and methods:
The research was conducted on 504 subjects aged between 66 and 94 years. The qualified respondents for the long-term home-based nursing care scored no more than 40 points in Barthel’s Index. The following research tools were used: Barhel’s Index, IADL, GDS, AMTS, and an authorial interview questionnaire.
Results:
For long-term home-based nursing care 15.67% (n = 79) of subjects were qualified; there were more women (n = 61) than men (n = 18) (p < 0.05). The age of respondents qualified for long-term nursing care was higher than the age of other test subjects (p < 0.001). Among subjects qualified for long-term home-based nursing care there were more people with incomplete primary education (p < 0.01) and a higher number of multi-diseases than with the rest (p < 0.01). Moreover, people qualified for long-term nursing care had worsened agility to perform complex life activities and worsened cognitive and emotional performance (p < 0.001) than people who did not qualify for such services.
Conclusions:
The need for long-term nursing care was determined by progressing ageing, functional, emotional, and cognitive disorders, more frequent with women, people with low education, and multi-diseases.
REFERENCES (20)
1.
Węgrzynowicz M. The role of primary care in the health system. State Higher Vocational School in Pila. Institute of Health – Direction of Nursing. Text Publishing. Saw, 2009.
2.
Beck O, Kędziora-Kornatowska K. Social care insurance as a chance to solve the problem of care for the elderly in Poland. Medical News 2013; 82: 56-60.
3.
Wilmowska-Pietruszyńska A, Putz J. The nursing care insurance as a proposal of system solutions of needs for people unable to live independently. Progress Med Sci 2009; 4: 264-267.
4.
Mojsa W, Chlebicz S, Małyszko J. Characteristics of patient under long-term nursing care in 2004-2008 in Podlaskie. Gerontol Pol 2013; 21: 18-24.
5.
Decree No. 87/2013/DSOZ of the President of the National Health Fund of 18 December 2013. on determining the conditions for the conclusion and implementation of contracts such as nursing and care services in the context of long-term care. Available at: www.nfz.gov.pl/new/ of 20.02.2014.
6.
Regulation of the Minister of Health of 22 November 2013 on the guaranteed benefits in the field of nursing and care services in the context of long-term care. Acts. U. 2013. Pos. 1480.
7.
Roszman A, Gaworska-Krzemińska A. The quality of nursing services, and the type of motivation in long-term care facilities. Nursing 2006; 3-4: 115-120.
8.
Falenczyk K, Marzec A. Long-term care at home. In: Nursing Long-term Care. Kędziora-Kornatowska K, Muszalik M, Skolimowska E (eds). Medical Publishing PZWL, Warsaw 2010; 319-329.
9.
Kulik TB. Family to the health and disease. In: Contemporary Threats to Health and Family. Kulik TB (ed). Branch Faculty of Social Sciences of the Catholic University of Lublin, Stalowa Wola 2002; 9-32.
10.
Frank G, Nowak-Kapusta Z, Grzywa T. Home environment as a place for long-term nursing care of the chronically ill. Nursing 2004; 1-2: 57-59.
11.
Markiewicz I, Cebulak M. The functional efficiency of patients in a long-term homenursing care. Nursing 2014; 22: 42-51.
12.
Dziechciaż M, Guty E, Wojtowicz A, Schabowski J. The demand for long term care of the elderly villagers. Med News 2012; 1: 26-30.
13.
Lewko J, Szymańska L, Sierakowska M, Nowodworska B, Krajewska-Kulak E. The rate of disability among the elderly and the demand for home-nursing care. Nursing 2006; 3-4: 111-114.
14.
Cebulak M, Markiewicz I, Guty E. Evaluation of cognitive function for patients under the long-term nursing care. Nursing 2014; 22: 20-26.
15.
Wu CY, Hu HY, Huang N, Fang YT, Chou YJ, Li CP. Determinants of long-term care services among the elderly: a population-based study in Taiwan. PLoS One 2014; 9: e89213.
16.
Van Campen C, Gameren E. Eligibility for long-term care in the Netherlands: development of a decision support system. Health Soc Care Commun 2005; 13: 287-296.
17.
Chang HT, Lai HY, Hwang IH, et al. Home healthcare services in Taiwan: a nationwide study among the older population. BMC Health Serv Res 2010; 10: 274.
18.
Olivares-Tirado P, Tamiya N, Kashiwagi M, Kashiwagi K. Predictors of the highest long-term care expenditures in Japan. BMC Health Services Research 2011; 11: 103.
19.
Santos-Eggimann B, Meylan L. Older citizens’ opinions on long-term care options: a vignette survey. J Am Med Dir Assoc 2017; 18: 326-34.
20.
Kashiwagi M, Tamiya N, Sato M, Yano E. Factors associated with the use of home-visit nursing services covered by the long-term care insurance in rural Japan: a cross-sectional study. BMC Geriatrics 2013; 13: 1.
Share
RELATED ARTICLE
| eISSN: | 2300-6722 |
| ISSN: | 1899-1874 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
