Effect of the Primary Nursing Model on Health Outcomes of Elderly Person with Multimorbidity: a Quasi-experimental Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 206
- 试验地点
- 2
- 主要终点
- Average global self-care score at discharge from inpatient unit
研究概览
简要总结
The goal of this quasi-experimental study is to analyze the effect of organizing nursing care according to the primary nursing model on therapeutic self-care and satisfaction with nursing care for elderly people with multimorbidity in hospital. Participants were patients of both sexes aged over 65 years with at least two chronic diseases admitted to an acute hospital ward. The main questions it aims to answer are:
- Does the use of the primary nursing model increase participants' perceived ability for therapeutic self-care?
- Does the use of the primary care model increase participants' satisfaction with nursing care? The researchers are comparing whether implementing the primary nursing model with the usual care model increases patients' capacity for therapeutic self-care.
Participants:
- Complete a self-care skills questionnaire on admission to the inpatient unit;
- Complete the same self-care questionnaire on discharge from hospital;
- Complete the same self-care questionnaire by telephone one month after discharge from hospital
- Complete a nursing care satisfaction questionnaire on discharge from hospital;
详细描述
The self-care skills questionnaire used was the Therapeutic Self-care Scale (TSC), translated and validated for the Portuguese population.
The questionnaire used to assess satisfaction with care was the Scale of Citizen Satisfaction with Care (ESCCE), validated for the Portuguese population.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Have at least two chronic diseases
- •Have at least one disease classified in the International Classification of Diseases, Ninth Revision (ICD9) and belonging to one of the following groups: cardiovascular disease, cancer, chronic obstructive pulmonary disease and diabetes;
- •Expect to be hospitalised for more than 48 hours;
- •Have the cognitive ability to read, write and understand the information provided;
- •Speak, read and write Portuguese.
排除标准
- •Transfer to other levels of care within the organisation
- •Discharged to other care units outside the organisation
- •Episodes of readmission within 30 days of leaving hospital, as this made the last moment of data collection impossible.
结局指标
主要结局
Average global self-care score at discharge from inpatient unit
时间窗: On the day of discharge from the inpatient unit, assessment up to 24 hours later.
Evaluated by the difference in response to the Therapeutic Self-Care Scale on admission and discharge from the unit. It is a 12-question Likert scale with a minimum score of zero (0) and a maximum score of five (5), with higher scores corresponding to better results. Average response scores are used.
Average global self-care score at follow-up
时间窗: At the follow-up 30 days after hospital discharge
Evaluated by the difference between the response to the Therapeutic Self-Care Scale at discharge and at follow-up. Also assessed by the difference between the response to the Therapeutic Self-Care Scale at admission and at follow-up. Therapeutic Self-Care Scale is a 12-question Likert scale with a minimum score of zero (0) and a maximum score of five (5), with higher scores corresponding to better results. Average response scores are used.
次要结局
- Average score for satisfaction with nursing care at discharge from inpatient unit(On the day of discharge from the inpatient unit, assessment up to 24 hours later.)
研究者
Isabel Gonçalves
Head of nursing
Hospital da Luz, Portugal