NRR-2026-006

The Impact of Home-visit Nursing Frequency in the First Two Weeks on Hospitalization and Institutionalization: A Retrospective Study Using Nursing Records

Takemasa Ishikawa, Ryoko Sekiguchi, Yuka Fukata, Reiko Kanaya, Tomoko Shimizu, Kumiko Katsuma

Publication

Affiliations
Nana-r Home-visit Nursing Development Center
Nana-r Home-visit Nursing Station
Journal
Journal of Japanese Association for Home Care Medicine
Year / Volume / Issue / Pages
2025 / 6 / 1 / 10-18
DOI
10.34458/jahcm.6.1_10
Publisher page
Open publisher page

Repository file

Manuscript type
External link only
Repository publication date
2026-08-20
License
Not specified
PDF
External link only

Abstract

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.

Keywords

home-visit nursing · nursing record · hospitalization · institutionalization · older people