Factors influencing the frequency of preventive home nursing visits to older adults
DOI:
https://doi.org/10.29352/mill0224e.41426Keywords:
community health nursing; older adults; functional status; house calls; risk assessment; preventive health servicesAbstract
Introduction: Systematic assessment of home care needs is essential to ensure equity and efficiency in the allocation of community nursing resources.
Objective: To identify the factors that determine the frequency of preventive home nursing visits to older adults.
Methods: An observational, retrospective, and analytical study was conducted using clinical records from 158 older adults aged 80 years and over, monitored by family nurses in 2024. Sociodemographic, clinical, functional, and support-related variables were collected, with the number of preventive visits as the dependent variable. Descriptive and multivariate analyses were performed.
Results: The average number of visits was 2.76 (SD = 1.06). Functional status, as measured by the Barthel Index, was negatively associated with the frequency of visits. None of the comorbidities showed statistical significance in the final model. Social and contextual variables were also not significantly associated with visit frequency.
Conclusion: Functional dependence emerged as the primary determinant of the frequency of preventive home nursing visits. Future studies should include more diverse samples and complementary outcome measures to support the development of more comprehensive predictive models.
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