ObjectiveHome visiting nurses contribute to end‐of‐life home care in an aging society. However, few previous studies reported patient outcomes based on nursing practices. This study aimed to examine the correlation between the number of them and the change in home death proportion.MethodsWe divided the number of home visiting nurses into four categories: absent, shortage, medium, and abundant. This study adopted the interaction term between the nurse categories and year as the major exposure variable, and home death proportion per municipality as the objective variable. We estimated the average marginal effects (AME) as the change in home death proportion from 2015 to 2020.ResultsThe total number of home visiting nurses was 36,483 in 2015 and 65,868 in 2020. The coefficients of the interaction term were statistically significant in medium and abundant municipalities (Medium: 1.26 (95% CI: 0.49–2.04), Abundant: 2.15 (95% CI: 0.76–3.55)). Increased home death proportion were estimated as AME: 1.56% (95% CI: 0.99–2.13), 1.35% (95% CI: 0.85–1.84), 2.82% (95% CI: 2.30–3.35), and 3.71% (95% CI: 2.44–4.99) in the absent, shortage, medium, and abundant areas, respectively.ConclusionsTo increase the proportion of home deaths, municipalities require a certain number of home visiting nurses.

中文翻译：

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上门护士对日本家庭死亡比例的影响：全国纵向生态研究


目的 上门护士为老龄化社会的临终家庭护理做出贡献。然而，之前很少有研究报告基于护理实践的患者结果。本研究旨在探讨上门护士数量与家庭死亡比例变化的相关性。方法将上门护士数量分为缺席、短缺、中等、充足四类。本研究采用护士类别和年份之间的交互项作为主要暴露变量，并采用每个城市的家庭死亡比例作为目标变量。我们将平均边际效应（AME）估计为2015年至2020年家庭死亡比例的变化。结果2015年家访护士总数为36,483人，2020年为65,868人。交互项系数在中等和丰富的国家中具有统计显着性。直辖市（中等：1.26（95% CI：0.49–2.04），丰富：2.15（95% CI：0.76–3.55））。家庭死亡比例增加估计为 AME：1.56% (95% CI: 0.99–2.13)、1.35% (95% CI: 0.85–1.84)、2.82% (95% CI: 2.30–3.35) 和 3.71% (95 % CI: 2.44–4.99）分别在缺席、短缺、中等和丰富地区。 结论 为了增加家庭死亡比例，各城市需要一定数量的上门护士。