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Effects of a nursing care program on functional outcomes in older acute medical in-patients: protocol for a randomized controlled trial

2019Journal article Open access
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dc.contributor.authorRodrigues, Cecília
dc.contributor.authorMendonça, Denisa
dc.contributor.authorMartins, Maria Manuela
dc.date.accessioned2020-08-24T09:16:46Z
dc.date.available2020-08-24T09:16:46Z
dc.date.issued2019
dc.description.abstractBackground: Hospitalization often leads to long periods of bed rest and inactivity which is associated with an increase in length of hospital stay, loss of capacity for basic self-care and discharge into a nursing home. Objective: This trial aims to verify if a nursing care program centered on basic self-care and predefined physical activity, improves functional outcomes in older hospitalized patients. Methods: This is a 2-group randomized controlled trial with repeated measures: 182 older acute medical patients will be blindly randomly allocated to the control group (n = 91) or intervention group (n = 91). The intervention will consist of nursing care intervention centered on basic self-care that includes a twice daily walking training, plus privileging pre-established trips to the toilet by walking and all daytime meals seated, off the bed. The main outcome was changes in the number of independent activities of daily living from 2 weeks before admission (baseline) to discharge. Trial registration: ClinicalTrials.gov (Identifier NCT03106064). Results: This intervention has the potential to change the outcomes of the older patient in the acute setting. Conclusion: The loss of independence in self-care is determinant in future health care needs. If our hypothesis is correct and demonstrate that this nursing care program centered on basic self-care for older acute medical patients improves functional outcomes, a change in the paradigmatic organization of hospital care may be justifiable.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRodrigues C, Mendonça D, Martins MM. Effects of a nursing care program on functional outcomes in older acute medical in-patients: protocol for a randomized controlled trial. Porto Biomed J. 2018;4(2):e24. Published 2018 Aug 1. doi:10.1016/j.pbj.0000000000000024pt_PT
dc.identifier.doi10.1016/j.pbj.0000000000000024pt_PT
dc.identifier.issn2444-8664
dc.identifier.issn2444-8672
dc.identifier.urihttp://hdl.handle.net/10400.16/2440
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWolters Kluwerpt_PT
dc.relation.publisherversionhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6726295/pdf/pj9-4-e24.pdfpt_PT
dc.subjectactivities of daily livingpt_PT
dc.subjectelderlypt_PT
dc.subjectfunctional outcomespt_PT
dc.subjectnursing care programpt_PT
dc.subjectself-carept_PT
dc.titleEffects of a nursing care program on functional outcomes in older acute medical in-patients: protocol for a randomized controlled trialpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPagee24pt_PT
oaire.citation.titlePorto biomedical journalpt_PT
oaire.citation.volume4pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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