DETERMINANTS OF SUBSEQUENT HOME HEALTH-CARE NURSING SERVICE USE BY HOSPITALIZED-PATIENTS WITH CANCER

Background. The authors examined the extent to which specific patient characteristics and length of hospital stay were capable of independen tly explaining the use of home health care nursing services by hospita lized patients with cancer after discharge. Methods. The current study represents a secondary analysis of a data set originally gathered to identify the home health care needs of patients with cancer. The sampl e involved 87 patients with cancer who received home health care after hospitalization and 43 patients who did not receive such services. Re sults. A logistic regression analysis indicated that home health care use was related to patient age, length of hospital stay, and level of symptom distress. Specifically, the likelihood of home health care use was found to increase among subjects older than 50 years of age, subj ects with hospital stays of more than 7 days (apparently related to su rgery), and those who experienced moderate to high levels of symptom d istress. Conclusions. The results indicate a need for home health care nurses to be skilled in the management of cancer symptoms and in the complex problems commonly experienced by the postsurgical patient with cancer.