2025 Volume 6 Issue 1 Pages 10-18
This study aimed to examine the association between the number of nursing visits in the first two weeks and subsequent hospitalization or institutionalization through a retrospective review of home-visit nursing records. We included 468 patients aged 65 and over who completed home-visit nursing services at the Nana-r Home-visit Nursing Station from April 2016 to December 2023. A logistic regression analysis was conducted with hospitalization or institutionalization as the dependent variable and the number of nursing visits within the first two weeks as the independent variable. Covariates included age, gender, terminal diagnosis (life expectancy < 6 months), family involvement, and the degree of independence for disabled and demented elderly. Analyses were conducted using JMP (Version 17.2) with the significance level set at 5%. The cohort comprised 236 men (50.4%) and had a median age of 83 years (IQR:78-89). End outcomes were home death (n = 163, 34.8%), hospitalization (n = 152, 32.5%), improvement (n = 84, 17.9%), and institutionalization (n = 69, 14.7%). The median number of visits was 4 (IQR:2-10). The odds ratio (95% confidence interval) for hospitalization or institutionalization in relation to the number of nursing visits in the first two weeks of home-visit nursing was 0.93 (0.89-0.97). These findings suggest that the number of nursing visits during the initial two weeks is likely associated with subsequent hospitalization or institutionalization among older adults receiving home care.
