Publication
Effects of a nursing care program on functional outcomes in older acute medical in-patients: protocol for a randomized controlled trial
dc.contributor.author | Rodrigues, Cecília | |
dc.contributor.author | Mendonça, Denisa | |
dc.contributor.author | Martins, Maria Manuela | |
dc.date.accessioned | 2020-08-24T09:16:46Z | |
dc.date.available | 2020-08-24T09:16:46Z | |
dc.date.issued | 2019 | |
dc.description.abstract | Background: 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.version | info:eu-repo/semantics/publishedVersion | pt_PT |
dc.identifier.citation | Rodrigues 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.0000000000000024 | pt_PT |
dc.identifier.doi | 10.1016/j.pbj.0000000000000024 | pt_PT |
dc.identifier.issn | 2444-8664 | |
dc.identifier.issn | 2444-8672 | |
dc.identifier.uri | http://hdl.handle.net/10400.16/2440 | |
dc.language.iso | eng | pt_PT |
dc.peerreviewed | yes | pt_PT |
dc.publisher | Wolters Kluwer | pt_PT |
dc.relation.publisherversion | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6726295/pdf/pj9-4-e24.pdf | pt_PT |
dc.subject | activities of daily living | pt_PT |
dc.subject | elderly | pt_PT |
dc.subject | functional outcomes | pt_PT |
dc.subject | nursing care program | pt_PT |
dc.subject | self-care | pt_PT |
dc.title | Effects of a nursing care program on functional outcomes in older acute medical in-patients: protocol for a randomized controlled trial | pt_PT |
dc.type | journal article | |
dspace.entity.type | Publication | |
oaire.citation.conferencePlace | United States of America | pt_PT |
oaire.citation.issue | 2 | pt_PT |
oaire.citation.startPage | e24 | pt_PT |
oaire.citation.title | Porto biomedical journal | pt_PT |
oaire.citation.volume | 4 | pt_PT |
rcaap.rights | openAccess | pt_PT |
rcaap.type | article | pt_PT |
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