Association between self-reported care needs and the allocation of care in Norwegian home nursing care recipients

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Abstract

Objectives.

This study investigated the relationship between patients’ self-reported illness, daily afflictions, and the frequency of home nursing care, and whether patients’ coping resources influenced the allocation of care.

Design, sample and measurements.

A cross-sectional survey was adopted. Two hundred and forty-two people aged 75 years and above receiving home nursing care participated in the study. Binary logistic regression model was used to test the effects of the independent variables on home nursing care.

Results.

Poor capacity to perform activities of daily living and high level of education were directly associated with a high frequency of home nursing care. Lack of perceived social support affected the amount of home nursing care allocated only when feelings of loneliness were connected with poor activities of daily living functioning. Interaction effects revealed that perceived social support influenced the amount of home nursing care in persons with higher education, in persons with low education, no such association were found. No associations were found between coping resources and home nursing care.

Conclusions.

Impaired capacity to perform activities of daily living was the main reason for care allocation. Education was associated with more formal care. Patients with low perceived social support combined with a low education level was a particularly vulnerable group.

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