Effects of a nursing care program focused on basic self-care in older acute medical in-patients: a randomized controlled trial

Detalhes bibliográficos
Autor(a) principal: Rodrigues, Cecília
Data de Publicação: 2020
Outros Autores: Mendonça, Denisa, Martins, Maria M.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.16/2694
Resumo: Background: Acute illness and hospitalization are often associated with decreased independence in basic activities of daily living. The aim of this study was to test the hypothesis that a nursing care program focused on basic self-care (N_BSC) improves functional outcomes in older patients admitted to an acute medical unit. Methods: This was a 2-group randomized controlled trial with repeated measures: 182 older patients admitted to an acute medical unit were randomly allocated to the usual care group (n = 91) and intervention group (n = 91). The intervention consisted of nursing care centered on basic self-care that includes promotion of daily walking and all daytime meals seated, out of bed. The main outcome was changes in the number of independent basic activities of daily living (BADL) from 2 weeks before admission (baseline) to discharge. Results: There was significant effect of the N_BSC on the outcomes. Changes from baseline to discharge in the number of independent BADL differ significantly between the intervention and usual care group. Intervention group patients were discharged with a superior functional status than usual care group. On discharge they were able to perform independently 2.93 BADL, whereas usual care patients performed independently 1.90 BADL (P < .001). Conclusions: N_BSC for hospitalized older adults was feasible and program participants were discharged with better functional status than a clinically similar comparison group. N_BSC could be readily adapted for use in other hospitals and warrants further evaluation as a potential new tool for improving outcomes for hospitalized older patients.
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spelling Effects of a nursing care program focused on basic self-care in older acute medical in-patients: a randomized controlled trialbasic activities of daily livingfunctional declinehospitalizationnursingolder peopleBackground: Acute illness and hospitalization are often associated with decreased independence in basic activities of daily living. The aim of this study was to test the hypothesis that a nursing care program focused on basic self-care (N_BSC) improves functional outcomes in older patients admitted to an acute medical unit. Methods: This was a 2-group randomized controlled trial with repeated measures: 182 older patients admitted to an acute medical unit were randomly allocated to the usual care group (n = 91) and intervention group (n = 91). The intervention consisted of nursing care centered on basic self-care that includes promotion of daily walking and all daytime meals seated, out of bed. The main outcome was changes in the number of independent basic activities of daily living (BADL) from 2 weeks before admission (baseline) to discharge. Results: There was significant effect of the N_BSC on the outcomes. Changes from baseline to discharge in the number of independent BADL differ significantly between the intervention and usual care group. Intervention group patients were discharged with a superior functional status than usual care group. On discharge they were able to perform independently 2.93 BADL, whereas usual care patients performed independently 1.90 BADL (P < .001). Conclusions: N_BSC for hospitalized older adults was feasible and program participants were discharged with better functional status than a clinically similar comparison group. N_BSC could be readily adapted for use in other hospitals and warrants further evaluation as a potential new tool for improving outcomes for hospitalized older patients.Wolters KluwerRepositório Científico do Centro Hospitalar Universitário de Santo AntónioRodrigues, CecíliaMendonça, DenisaMartins, Maria M.2022-07-11T14:00:23Z2020-11-182020-11-18T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.16/2694engRodrigues C, Mendonça D, Martins MM. Effects of a nursing care program focused on basic self-care in older acute medical in-patients: a randomized controlled trial. Porto Biomed J. 2020;5(6):e086. Published 2020 Nov 18. doi:10.1097/j.pbj.00000000000000862444-867210.1097/j.pbj.0000000000000086info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-20T11:01:44Zoai:repositorio.chporto.pt:10400.16/2694Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:38:53.376230Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Effects of a nursing care program focused on basic self-care in older acute medical in-patients: a randomized controlled trial
title Effects of a nursing care program focused on basic self-care in older acute medical in-patients: a randomized controlled trial
spellingShingle Effects of a nursing care program focused on basic self-care in older acute medical in-patients: a randomized controlled trial
Rodrigues, Cecília
basic activities of daily living
functional decline
hospitalization
nursing
older people
title_short Effects of a nursing care program focused on basic self-care in older acute medical in-patients: a randomized controlled trial
title_full Effects of a nursing care program focused on basic self-care in older acute medical in-patients: a randomized controlled trial
title_fullStr Effects of a nursing care program focused on basic self-care in older acute medical in-patients: a randomized controlled trial
title_full_unstemmed Effects of a nursing care program focused on basic self-care in older acute medical in-patients: a randomized controlled trial
title_sort Effects of a nursing care program focused on basic self-care in older acute medical in-patients: a randomized controlled trial
author Rodrigues, Cecília
author_facet Rodrigues, Cecília
Mendonça, Denisa
Martins, Maria M.
author_role author
author2 Mendonça, Denisa
Martins, Maria M.
author2_role author
author
dc.contributor.none.fl_str_mv Repositório Científico do Centro Hospitalar Universitário de Santo António
dc.contributor.author.fl_str_mv Rodrigues, Cecília
Mendonça, Denisa
Martins, Maria M.
dc.subject.por.fl_str_mv basic activities of daily living
functional decline
hospitalization
nursing
older people
topic basic activities of daily living
functional decline
hospitalization
nursing
older people
description Background: Acute illness and hospitalization are often associated with decreased independence in basic activities of daily living. The aim of this study was to test the hypothesis that a nursing care program focused on basic self-care (N_BSC) improves functional outcomes in older patients admitted to an acute medical unit. Methods: This was a 2-group randomized controlled trial with repeated measures: 182 older patients admitted to an acute medical unit were randomly allocated to the usual care group (n = 91) and intervention group (n = 91). The intervention consisted of nursing care centered on basic self-care that includes promotion of daily walking and all daytime meals seated, out of bed. The main outcome was changes in the number of independent basic activities of daily living (BADL) from 2 weeks before admission (baseline) to discharge. Results: There was significant effect of the N_BSC on the outcomes. Changes from baseline to discharge in the number of independent BADL differ significantly between the intervention and usual care group. Intervention group patients were discharged with a superior functional status than usual care group. On discharge they were able to perform independently 2.93 BADL, whereas usual care patients performed independently 1.90 BADL (P < .001). Conclusions: N_BSC for hospitalized older adults was feasible and program participants were discharged with better functional status than a clinically similar comparison group. N_BSC could be readily adapted for use in other hospitals and warrants further evaluation as a potential new tool for improving outcomes for hospitalized older patients.
publishDate 2020
dc.date.none.fl_str_mv 2020-11-18
2020-11-18T00:00:00Z
2022-07-11T14:00:23Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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format article
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.16/2694
url http://hdl.handle.net/10400.16/2694
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Rodrigues C, Mendonça D, Martins MM. Effects of a nursing care program focused on basic self-care in older acute medical in-patients: a randomized controlled trial. Porto Biomed J. 2020;5(6):e086. Published 2020 Nov 18. doi:10.1097/j.pbj.0000000000000086
2444-8672
10.1097/j.pbj.0000000000000086
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Wolters Kluwer
publisher.none.fl_str_mv Wolters Kluwer
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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