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With age comes increasing loss of efficiency, and thereby increasing dependence on others and increasing demand for nursing and care services Aim of the research: To determine the factors of demand for long-term home nursing care among people over 65 years old. Material and methods: The research was conducted on 504 subjects aged between 66 and 94 years. The qualified respondents for the long-term home-based nursing care scored no more than 40 points in Barthel’s Index. The following research tools were used: Barhel’s Index, IADL, GDS, AMTS, and an authorial interview questionnaire. Results: For long-term home-based nursing care 15.67% (n = 79) of subjects were qualified; there were more women (n = 61) than men (n = 18) (p < 0.05). The age of respondents qualified for long-term nursing care was higher than the age of other test subjects (p < 0.001). Among subjects qualified for long-term home-based nursing care there were more people with incomplete primary education (p < 0.01) and a higher number of multi-diseases than with the rest (p < 0.01). Moreover, people qualified for long-term nursing care had worsened agility to perform complex life activities and worsened cognitive and emotional performance (p < 0.001) than people who did not qualify for such services. Conclusions: The need for long-term nursing care was determined by progressing ageing, functional, emotional, and cognitive disorders, more frequent with women, people with low education, and multi-diseases.

Determinants of long-term home nursing care among people over 65 years of age