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  1. Bestimmen "Hilfebedarf" oder "Aktivitäten des täglichen Lebens" die Pflegestufe : Eine multivariate Analyse.

    Article - En allemand

    Traduction en anglais : Need-for-help criteria or activities of daily living for the assessment in the nursing care insurance ? A multivariate analysis.

    In nursing insurance according to German legislation, the act of classifying the client is a three step process.

    First, general data to functional impairment is recorded.

    Second, 11 activities of daily living are scored.

    Finally, the need for help is assessed with respect to 19 legally defined distinct criteria.

    These are the only legally important criteria, determining the degree of severity of disablement (0 to 3).

    Objective 

    We aimed to determine the classification competence of each single item ; To detect the optimal combination of items ; and To identify any difference between the population of clients bound for home, or ward-based nursing care.

    Method 

    We retrospectively investigated 7000 anonymised routine data sets of assessments for both home and ward-based nursing care by means of stepwise discriminant analysis, or CHAID.

    Results 

    In concert, in the group of the (legally irrelevant) activities of daily living the analyses depicted a few key items competent in classifying, which had their counterparts among the (legally relevant) need-for-help criteria with identical rank order.

    The weighted kappa indicating classification competence ranged from 0.76 (all available items) to 0.66 (4 key activities of daily living).

    The activities-of-daily-living items performed equally to the legally defined need-for-help criteria.

    There was no difference between the two groups of clients. (...)

    Mots-clés Pascal : Evaluation, Besoin, Critère, Activité, Vie quotidienne, Capacité fonctionnelle, Homme, Nursing, Soin, Analyse multivariable, Classification, A domicile, Milieu hospitalier, Allemagne, Europe

    Mots-clés Pascal anglais : Evaluation, Need, Criterion, Activity, Daily living, Functional capacity, Human, Nursing, Care, Multivariate analysis, Classification, At home, Hospital environment, Germany, Europe

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0414119

    Code Inist : 002B30A11. Création : 25/01/1999.