Research Progress on the Needs of Home Nursing Services for the Elderly

The great value of home nursing services in the treatment of ailments in elderly patients has attracted increasing attention. This study describes a new mobile internet-based home nursing service system and investigates the reasons for its use among elderly patients. 520 cases of mobile internet-based home nursing services were investigated. The proportion of major reasons to use mobile internet-based home nursing services among the elderly was analyzed and the satisfaction rate was investigated. The constituent ratios of nursing care for pressure ulcers, peripherally inserted central catheter (PICC), subcutaneous injection, general stoma care, psychological care, and intramuscular injection were 61.35%, 28.85%, 6.15%, 1.92%, 1.35%, and 0.38%, respectively. The satisfaction rate with mobile internet-based home nursing services among elderly patients was 100%. Considering the demand for home nursing services for elderly patients, this is the first time that a new mobile internet-based home nursing service has been applied to provide home nursing services to elderly patients and meet their home nursing service needs. Treatment for pressure ulcers, PICC, subcutaneous injection, general stoma care, psychological care, and intramuscular injection were found to be the main reasons to use mobile internet-based home nursing services among the elderly. The new mobile internet-based home nursing service system provides convenient home nursing services to elderly patients and ensures that they get equal rights in home nursing. The results provide basis for healthcare policy makers to formulate new home nursing policies for elderly patients.

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Comparison of the caregivers’ and community health professionals’ views on home health care services for disabled older adults: a cross-sectional study in Beijing, China

BMC Health Services Research ◽

10.1186/s12913-021-06400-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Xiaojingyuan Xu ◽

Chunyan Zhao ◽

Meirong Wang ◽

Xiaolei Chen ◽

Shuang Shao ◽

...

Keyword(s):

Older Adults ◽

Community Health ◽

Home Health Care ◽

Health Professionals ◽

Home Nursing ◽

Cross Sectional ◽

Guidance Services ◽

Nursing Services ◽

Beijing China ◽

Health Guidance

Abstract Background In an era of an increasingly ageing society, part of healthcare for older adults can be provided in patients’ homes, and the need for home health care services (HHCSs) is increasing. This study sought to determine whether a gap exists between the views of community health professionals and the caregivers of disabled older adults towards HHCSs in Beijing, China. Methods A cross-sectional study with two comparative questionnaire surveys was conducted in Beijing, China. One survey was administered to the caregivers of disabled older adults, and the other was administered to health professionals in community health service institutions (CHSIs). T-tests and Wilcoxon signed-rank tests were used to explore potential differences between the views of caregivers and community health professionals towards HHCSs. Results We received 370 valid questionnaires from caregivers and 224 questionnaires from health professionals. Of the 370 caregivers, 314 (84.9%) were willing to apply for HHCSs for the older adults, but only 20.5% (N = 76) received HHCSs. Over 80% of the caregivers accepted out-of-pocket costs less than 100 yuan per visit. Caregivers’ demands on home nursing services were significantly higher than those of health guidance services (Z = − 7.725, P < 0.001). Most of the 224 health professionals chose “health professionals’ personal safety cannot be guaranteed” as a problem limiting the provision of HHCSs (N = 151, 40.8%). The health professionals’ attitudes towards home nursing services were significantly less positive than those towards health guidance services (Z = − 10.081, P < 0.001). For home nursing services, health professionals’ attitude scores were lower than the caregivers’ demand scores (Z = − 4.960, P < 0.001), while for health guidance services, health professionals’ attitude scores were higher than the caregivers’ demand scores (Z = − 8.373, P < 0.001). Conclusions Gaps exist between the views of caregivers and health professionals on HHCSs. Compared to health professionals with a higher willingness to provide health guidance services, caregivers need home nursing services. Feasible policies should be implemented to safeguard the rights and interests of health professionals, and qualified health professionals should be trained for HHCSs.

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Public Health and Bedside Home Nursing Services

American Journal of Public Health and the Nations Health ◽

10.2105/ajph.38.1_pt_1.82 ◽

1948 ◽

Vol 38 (1_Pt_1) ◽

pp. 82-85

Author(s):

Haven Emerson

Keyword(s):

Public Health ◽

Home Nursing ◽

Nursing Services

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The need of the elderly for nursing and social services in the community of Kaunas district

Medicina ◽

10.3390/medicina43110117 ◽

2007 ◽

Vol 43 (11) ◽

pp. 903 ◽

Cited By ~ 3

Author(s):

Lina Hitaitė ◽

Lina Spirgienė

Keyword(s):

Social Services ◽

Barthel Index ◽

Medical Training ◽

The Elderly ◽

Rural Elderly ◽

Urban Elderly ◽

Nursing Services ◽

Outpatient Departments ◽

Primary Health Care Centers ◽

State Examination

The aim of this study was to evaluate the need of the elderly for outpatient nursing and social services in Kaunas district. Material and methods. The object of the study was elderly people (aged 65 years and more) living in Kaunas district. A questionnaire was used for interviewing. The sample was randomly selected from the lists of people registered at the primary health care centers (including outpatient departments and medical aid centers). A total of 390 inhabitants were investigated who represent all the elderly of Kaunas district. The independence of the respondents was evaluated by the standard tests (the Barthel Index and Mini-Mental State Examination). Results. The respondents reported that 71.3% of them needed nursing and 58.2% social services. The need for the services was higher in older age group. The rural elderly reported higher need for social services (64.3%) than the urban elderly (49.6%). Less than half (45.9%) of respondents referred having problems visiting the general practitioner. Majority of the respondents (86.4%) pointed out that those who took care of them had no special medical training. Totally or almost totally dependent respondents (groups by Barthel Index) needed social (88.0%) and nursing (96.0%) services. Majority of respondents (79.2%) preferred to be cared at home. Conclusions. More than half of the elderly needed both nursing and social services. The need for social services differently from nursing services was influenced by the living place of the respondents; the rural elderly needed services more than the urban elderly.

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Pelatihan Keseimbangan dengan Penerapan Yoga pada Lansia dengan Risiko Jatuh di Panti Sosial Tresna Werdha Sabai Nan Aluih Sicincin

Jurnal Warta Pengabdian Andalas ◽

10.25077/jwa.27.3.203-212.2020 ◽

2020 ◽

Vol 27 (3) ◽

pp. 203-212

Author(s):

Gusti Sumarsih ◽

Fitra Yeni ◽

Arif Rohman Mansur ◽

Siti Annisa Irdhani

Keyword(s):

Elderly People ◽

Aging Process ◽

Balance Training ◽

The Elderly ◽

Home Nursing ◽

Risk Of Falling ◽

Extrinsic Factors ◽

The Social ◽

Physical Health Problems ◽

Intrinsic And Extrinsic Factors

Physical health problems that often occur in the elderly people, for instance falling down to floor. The physiological changing during the aging process increase the client's risk of falling and having an accident. Most falls occur when moving from a bed, stool, and toilet, when going into or out of the bathroom, tripping over the edge of a carpet or door, slipping on wet surfaces and going downstairs. There are many factors that play a role in the occurrence of falls in the elderly, both intrinsic and extrinsic factors. The problems faced by the partners at this time include, there are 20 elderly people at the Social Home of Tresna Werdha Sabai Nan Aluih Sicincin, experiencing rheumatism, 10 seniors have experienced falls in the last 6 months, 35 elderly people experience urinary incontinence, the elderly do not know to minimize the risk of falling balance in the elderly has not been carried out and has not become a priority at the Social Home. Nursing staff identified cooperative elderly people to be provided with balance training with the application of Yoga. Activities were carried out in accordance with elderly guest houses to implement physical distancing due to pandemic Covid-19. Beside that, we provided leaflets of the Yoga’s training, some face masks, snack boxes, and cash for all elderly residents of the Sosial Home.

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Predominant factors of institutionalization in the elderly: a comparative study between home nursing and community dwelling

Working with Older People ◽

10.1108/wwop-08-2020-0043 ◽

2020 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Laura Montes Reula ◽

Miguel Cañete Lairla ◽

Jorge Navarro López ◽

Carmelo Pelegrín Valero ◽

José Galindo Ortiz de Landázuri ◽

...

Keyword(s):

Quality Of Life ◽

Social Relationships ◽

Social Relations ◽

Qualitative Evaluation ◽

The Elderly ◽

Community Dwelling ◽

Cognitive State ◽

Home Nursing ◽

Content Type

Purpose The purpose of this paper was to detect the most significant factors associated with each living alternative to improve socialization and mental health of the elderly. The measurements included affective evaluation, cognitive assessment, anxiety level, physical functionality, quality of life and social relationships. Individuals in home nursing residences were older and had worse affective status, functionality, cognitive state and quality of life. Social relationships in community people were better than in the institutionalized condition, particularly for less aged people. Design/methodology/approach Comparative descriptive study realized in 200 people older than 70 years in home nursing placement versus community dwelling conditions. Findings Multivariate analysis and logistic regression indicated that greater disability and poorer quality of social relationships were the main factors influencing the institutionalization process. Specifically, the Sociotype Questionnaire appeared as an efficient tool concerning the detection of social isolation effects as well as an acceptable integrator of prosocial information about home nursing placement. Originality/value The Geriatric Sociotype survey has shown usefulness in the evaluation of the social network of elderly people, both from the point of view of assessment and prognosis. In this sense it is considered that one of the main contributions of this study is to have included the qualitative evaluation of social relations, and to observe the differences according to the place of residence.

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