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

2020-11-18Artigo científico Acesso aberto
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dc.contributor.authorRodrigues, Cecília
dc.contributor.authorMendonça, Denisa
dc.contributor.authorMartins, Maria M.
dc.date.accessioned2022-07-11T14:00:23Z
dc.date.available2022-07-11T14:00:23Z
dc.date.issued2020-11-18
dc.description.abstractBackground: 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRodrigues 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.0000000000000086pt_PT
dc.identifier.doi10.1097/j.pbj.0000000000000086pt_PT
dc.identifier.issn2444-8672
dc.identifier.issn2444-8664
dc.identifier.urihttp://hdl.handle.net/10400.16/2694
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWolters Kluwerpt_PT
dc.relation.publisherversionhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7846415/pdf/pj9-5-e086.pdfpt_PT
dc.subjectbasic activities of daily livingpt_PT
dc.subjectfunctional declinept_PT
dc.subjecthospitalizationpt_PT
dc.subjectnursingpt_PT
dc.subjectolder peoplept_PT
dc.titleEffects of a nursing care program focused on basic self-care in older acute medical in-patients: a randomized controlled trialpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapt_PT
oaire.citation.issue6pt_PT
oaire.citation.startPagee086pt_PT
oaire.citation.titlePorto Biomedical Journalpt_PT
oaire.citation.volume5pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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