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Titre : | Hospital-acquired functional decline in older patients cared for in acute medical wards and predictors : Findings from a multicentre longitudinal study (2016) |
Auteurs : | Alvisa Palese ; Silvia Gonella ; Renzo Moreale |
Type de document : | Article |
Dans : | Geriatric Nursing (Vol. 37, n° 3, May/June 2016) |
Article en page(s) : | p. 192-199 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Hôpitaux ; Maladie fonctionnelle ; Maladie nosocomiale ; Recherche ; Soins gériatriques ; Sujet âgé |
Résumé : | Describing the trajectories of hospital-associated functional decline in older patients admitted to acute medical units and identifying predictors at the individual, nursing, and hospital levels, were the aims of the study. A longitudinal survey among 12 acute medical units in which 1464 patients were consecutively enrolled and evaluated using the Barthel Index (BI), was performed. Functional decline was defined as a decrease in the BI of at least 5 points from admission to discharge. In all, 17.1% participants (n = 251) demonstrated functional decline. In accordance with multiple logistic regression analysis, 28.8% (R2) of the variance in the functional decline was explained by: confusion/disorientation (RR = 4.684; 95% CI = 3.1446.978), admission from nursing homes (RR = 2.464; 95% CI = 1.6423.697), daily care expressed in minutes offered by nursing aides (RR = 1.535; 95% CI = 1.2751.849), higher workforce skill-mix (RR = 2.221; 95% CI = 1.7632.797), bladder catheter insertion (RR = 1.599; 95% CI = 1.1282.268), and higher BI score at admission (RR = 1.019; 95% CI = 1.0141.024). Increasing the amount of care delivered by competent nurseshaving a bachelors degreeproviding and supervising direct-care activities, may reduce the occurrence of functional decline in older patients admitted to medical units. |
Disponible en ligne : | Non |
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