PMID- 29372600
OWN - NLM
STAT- MEDLINE
DCOM- 20180501
LR  - 20180501
IS  - 1479-8301 (Electronic)
IS  - 1346-3500 (Linking)
VI  - 18
IP  - 1
DP  - 2018 Jan
TI  - Effect of preceding home-visit nursing on time to discharge in hospitalization 
      for the treatment of behavioural and psychological symptoms of dementia among 
      patients with limited familial care.
PG  - 36-41
LID - 10.1111/psyg.12282 [doi]
AB  - BACKGROUND: During hospitalization for behavioural and psychological symptoms of 
      dementia (BPSD), it is imperative to build a support system for each patient in 
      the community for after they obtain symptom remission. To this end, patients 
      lacking adequate family support are less likely to be discharged to their own 
      homes and need stronger support systems to be established. This study therefore 
      investigated the effects of home-visit nursing before admission on time to home 
      discharge among patients with limited familial care who were hospitalized for 
      treatment of BPSD. METHODS: A single-centre chart review study was conducted on 
      consecutive patients admitted from home between April 2013 and September 2015 for 
      treatment of BPSD and who had lived alone or with a working family member. Time 
      to home discharge was compared between patients who had home-visit nursing before 
      their admission and those who did not. RESULTS: In total, 58 patients were 
      enrolled in the study, of whom 12 had preceding home-visit nursing (PHN group) 
      and 46 did not (non-PHN group). Patients in the PHN group were younger 
      (77.7 +/- 4.9 vs. 84.1 +/- 6.1 years, P = 0.0011) and had higher Mini-Mental State 
      Examination scores (16.8 +/- 7.2 vs 11.8 +/- 7.3, P = 0.0287). A multivariate Cox 
      proportional hazard regression analysis adjusted for age and Mini-Mental State 
      Examination scores showed a higher likelihood of discharge to home in the PHN 
      group (hazard ratio: 3.85; 95% confidence interval: 1.27-11.6;, P = 0.017) than 
      in the non-PHN group. CONCLUSION: Home-visit nursing before admission of BPSD 
      patients for treatment could improve the rate of discharge to home among patients 
      with limited familial care after subsequent hospitalization. Home-visit nursing 
      could also enhance collaborative relationships between social and hospital-based 
      care systems, and early implementation could improve the likelihood of vulnerable 
      patient types remaining in their own homes for as long as possible.
CI  - (c) 2018 Japanese Psychogeriatric Society.
FAU - Kitamura, Tatsuru
AU  - Kitamura T
AD  - Department of Neuropsychiatry, Ishikawa Prefectural Takamatsu Hospital, Kahoku 
      City, Japan.
FAU - Shiota, Shigehito
AU  - Shiota S
AD  - Department of Neuropsychiatry, Ishikawa Prefectural Takamatsu Hospital, Kahoku 
      City, Japan.
FAU - Jinkawa, Shigetoshi
AU  - Jinkawa S
AD  - Department of Neuropsychiatry, Ishikawa Prefectural Takamatsu Hospital, Kahoku 
      City, Japan.
FAU - Kitamura, Maki
AU  - Kitamura M
AD  - Department of Neuropsychiatry, Ishikawa Prefectural Takamatsu Hospital, Kahoku 
      City, Japan.
FAU - Hino, Shoryoku
AU  - Hino S
AD  - Department of Neuropsychiatry, Ishikawa Prefectural Takamatsu Hospital, Kahoku 
      City, Japan.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Psychogeriatrics
JT  - Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
JID - 101230058
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Behavioral Symptoms/diagnosis/psychology/*therapy
MH  - Dementia/*psychology
MH  - Female
MH  - Homes for the Aged
MH  - Hospitalization/*statistics & numerical data
MH  - *House Calls
MH  - Humans
MH  - Male
MH  - Neuropsychological Tests
MH  - Nursing Homes
MH  - Patient Discharge/*statistics & numerical data
MH  - Retrospective Studies
MH  - Time Factors
OTO - NOTNLM
OT  - behavioural problem
OT  - dementia
OT  - home health nursing
OT  - hospitalization
OT  - patient discharge
EDAT- 2018/01/27 06:00
MHDA- 2018/05/02 06:00
CRDT- 2018/01/27 06:00
PHST- 2017/02/06 00:00 [received]
PHST- 2017/04/19 00:00 [revised]
PHST- 2017/05/07 00:00 [accepted]
PHST- 2018/01/27 06:00 [entrez]
PHST- 2018/01/27 06:00 [pubmed]
PHST- 2018/05/02 06:00 [medline]
AID - 10.1111/psyg.12282 [doi]
PST - ppublish
SO  - Psychogeriatrics. 2018 Jan;18(1):36-41. doi: 10.1111/psyg.12282.