Abstract：
OBJECTIVE: To investigate the change and associated factors of care needs within 6 months post-discharge in older people with hospital-associated disability, and the relationship between time-varying care needs and physical function.
BACKGROUND: Older people with hospital-associated disability will have various care needs post-discharge. Understanding their care needs will help to improve their health. However, studies on this population are still limited.
METHODS: A longitudinal study.
METHODS: The older people who met the inclusion and exclusion criteria were selected in 2 tertiary hospitals in Zhejiang Province, China. The questionnaire survey method was used to collect data about socio-demographic characteristics, physical function and care needs. The data of 375 older people who completed follow-up were analysed using logistic regression analysis, generalised estimating equations and generalised additive mixed model. We followed STROBE checklist for reporting the study.
RESULTS: The care needs of the older people with hospital-associated disability declined unevenly, it decreased rapidly in the first three months, and then flattening out. The percentage of people with care needs in each dimension decreased over time, but daily care and rehabilitation needs were consistently more important. Socio-demographic factors and physical function had different effects on need at different time points, the physical function was the main factor among them. There were non-linear relationships between the physical function and different care needs with different inflection points.
CONCLUSIONS: This research revealed change patterns of the care needs of older people with hospital-associated disability post-discharge and the non-linear relationship between physical function and care needs. These findings may help healthcare professionals and caregivers to provide accurate care.
CONCLUSIONS: The findings can be used to identify effective approaches to address the care needs of older people with hospital-associated disability based on the time of discharge, in conjunction with age, education, and especially physical function, which will promote the justify allocation of nursing resources. What does this paper contribute to the wider global clinical community?
BACKGROUND: Older people with hospital-associated disability will have various care needs post-discharge. Understanding their care needs will help to improve their health. However, studies on this population are still limited.
METHODS: A longitudinal study.
METHODS: The older people who met the inclusion and exclusion criteria were selected in 2 tertiary hospitals in Zhejiang Province, China. The questionnaire survey method was used to collect data about socio-demographic characteristics, physical function and care needs. The data of 375 older people who completed follow-up were analysed using logistic regression analysis, generalised estimating equations and generalised additive mixed model. We followed STROBE checklist for reporting the study.
RESULTS: The care needs of the older people with hospital-associated disability declined unevenly, it decreased rapidly in the first three months, and then flattening out. The percentage of people with care needs in each dimension decreased over time, but daily care and rehabilitation needs were consistently more important. Socio-demographic factors and physical function had different effects on need at different time points, the physical function was the main factor among them. There were non-linear relationships between the physical function and different care needs with different inflection points.
CONCLUSIONS: This research revealed change patterns of the care needs of older people with hospital-associated disability post-discharge and the non-linear relationship between physical function and care needs. These findings may help healthcare professionals and caregivers to provide accurate care.
CONCLUSIONS: The findings can be used to identify effective approaches to address the care needs of older people with hospital-associated disability based on the time of discharge, in conjunction with age, education, and especially physical function, which will promote the justify allocation of nursing resources. What does this paper contribute to the wider global clinical community?
摘要：
目的：调查住院相关残疾老年人出院后6个月内护理需求的变化及相关因素，以及随时间变化的护理需求与身体机能之间的关系。
背景：患有医院相关残疾的老年人在出院后将有各种护理需求。了解他们的护理需求将有助于改善他们的健康状况。然而,对这一人群的研究仍然有限。
方法：纵向研究。
方法：选取浙江省2所三级医院符合纳入和排除标准的老年人，中国。采用问卷调查法收集有关社会人口学特征的数据,身体功能和护理需求。对375名完成随访的老年人的数据进行logistic回归分析。广义估计方程和广义加性混合模型。我们遵循STROBE检查表报告研究。
结果：患有医院相关残疾的老年人的护理需求下降不均匀，它在前三个月迅速下降，然后变平。每个维度都有护理需求的人的百分比随着时间的推移而下降，但日常护理和康复需求始终更为重要.社会人口因素和身体机能对不同时间点的需求有不同的影响，身体机能是其中的主要因素。身体功能与不同拐点的不同护理需求之间存在非线性关系。
结论：这项研究揭示了出院后医院相关残疾老年人护理需求的变化模式，以及身体功能与护理需求之间的非线性关系。这些发现可能有助于医疗保健专业人员和护理人员提供准确的护理。
结论：研究结果可用于根据出院时间确定有效的方法来满足患有医院相关残疾的老年人的护理需求。随着年龄的增长,教育,尤其是身体功能，这将促进护理资源的合理分配。本文对更广泛的全球临床社区有什么贡献？
背景：患有医院相关残疾的老年人在出院后将有各种护理需求。了解他们的护理需求将有助于改善他们的健康状况。然而,对这一人群的研究仍然有限。
方法：纵向研究。
方法：选取浙江省2所三级医院符合纳入和排除标准的老年人，中国。采用问卷调查法收集有关社会人口学特征的数据,身体功能和护理需求。对375名完成随访的老年人的数据进行logistic回归分析。广义估计方程和广义加性混合模型。我们遵循STROBE检查表报告研究。
结果：患有医院相关残疾的老年人的护理需求下降不均匀，它在前三个月迅速下降，然后变平。每个维度都有护理需求的人的百分比随着时间的推移而下降，但日常护理和康复需求始终更为重要.社会人口因素和身体机能对不同时间点的需求有不同的影响，身体机能是其中的主要因素。身体功能与不同拐点的不同护理需求之间存在非线性关系。
结论：这项研究揭示了出院后医院相关残疾老年人护理需求的变化模式，以及身体功能与护理需求之间的非线性关系。这些发现可能有助于医疗保健专业人员和护理人员提供准确的护理。
结论：研究结果可用于根据出院时间确定有效的方法来满足患有医院相关残疾的老年人的护理需求。随着年龄的增长,教育,尤其是身体功能，这将促进护理资源的合理分配。本文对更广泛的全球临床社区有什么贡献？
