Abstract：
UNASSIGNED: The purpose of this study was to explore the mediating roles of care receiver clinical factors on the relationship between care partner preparedness and care partner desire to seek long-term care admission for persons living with dementia at hospital discharge.
UNASSIGNED: This study analyzed data from the Family centered Function-focused Care (Fam-FFC), which included 424 care receiver and care partner dyads. A multiple mediation model examined the indirect effects of care partner preparedness on the desire to seek long-term care through care receiver clinical factors (behavioral and psychological symptoms of dementia [BPSD], comorbidities, delirium severity, physical function, and cognition).
UNASSIGNED: Delirium severity and physical function partially mediated the relationship between care partner preparedness and care partner desire to seek long-term care admission (B = -.011; 95% CI = -.019, -.003, and B = -.013; 95% CI = -.027, -.001, respectively).
UNASSIGNED: Interventions should enhance care partner preparedness and address delirium severity and physical function in hospitalized persons with dementia to prevent unwanted nursing home placement at hospital discharge.
UNASSIGNED: Integrating care partner preparedness and care receiver clinical factors (delirium severity and physical function) into discharge planning may minimize care partner desire to seek long-term care.
UNASSIGNED: This study analyzed data from the Family centered Function-focused Care (Fam-FFC), which included 424 care receiver and care partner dyads. A multiple mediation model examined the indirect effects of care partner preparedness on the desire to seek long-term care through care receiver clinical factors (behavioral and psychological symptoms of dementia [BPSD], comorbidities, delirium severity, physical function, and cognition).
UNASSIGNED: Delirium severity and physical function partially mediated the relationship between care partner preparedness and care partner desire to seek long-term care admission (B = -.011; 95% CI = -.019, -.003, and B = -.013; 95% CI = -.027, -.001, respectively).
UNASSIGNED: Interventions should enhance care partner preparedness and address delirium severity and physical function in hospitalized persons with dementia to prevent unwanted nursing home placement at hospital discharge.
UNASSIGNED: Integrating care partner preparedness and care receiver clinical factors (delirium severity and physical function) into discharge planning may minimize care partner desire to seek long-term care.
摘要：
■这项研究的目的是探讨护理接受者临床因素在护理伴侣准备与护理伴侣希望在出院时痴呆症患者寻求长期护理入院之间的关系中的中介作用。
■这项研究分析了以家庭为中心的以功能为中心的护理（Fam-FFC）的数据，其中包括424名护理接受者和护理伴侣。多重调解模型通过护理接受者的临床因素（痴呆的行为和心理症状[BPSD]，研究了护理伴侣准备对寻求长期护理的愿望的间接影响。合并症,谵妄严重程度,物理功能，和认知)。
■谵妄严重程度和身体功能部分介导了护理伙伴准备与护理伙伴寻求长期护理的意愿之间的关系（B=-.011；95％CI=-.019，-.003和B=-.013；95％CI=-.027，-.001，分别）。
■干预措施应加强护理伙伴的准备，并解决住院痴呆症患者的谵妄严重程度和身体功能，以防止出院时不必要的疗养院安置。
■将护理伴侣的准备和护理接受者的临床因素（谵妄严重程度和身体机能）纳入出院计划可以最大程度地减少护理伴侣寻求长期护理的愿望。
■这项研究分析了以家庭为中心的以功能为中心的护理（Fam-FFC）的数据，其中包括424名护理接受者和护理伴侣。多重调解模型通过护理接受者的临床因素（痴呆的行为和心理症状[BPSD]，研究了护理伴侣准备对寻求长期护理的愿望的间接影响。合并症,谵妄严重程度,物理功能，和认知)。
■谵妄严重程度和身体功能部分介导了护理伙伴准备与护理伙伴寻求长期护理的意愿之间的关系（B=-.011；95％CI=-.019，-.003和B=-.013；95％CI=-.027，-.001，分别）。
■干预措施应加强护理伙伴的准备，并解决住院痴呆症患者的谵妄严重程度和身体功能，以防止出院时不必要的疗养院安置。
■将护理伴侣的准备和护理接受者的临床因素（谵妄严重程度和身体机能）纳入出院计划可以最大程度地减少护理伴侣寻求长期护理的愿望。
