Effect Estimation of an Innovative Nursing Intervention to Improve Delirium among Home-Dwelling Older Adults: A Randomized Controlled Pilot Trial.

Détails

Ressource 1Télécharger: BIB_0629E9C63F18.P001.pdf (1737.17 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_0629E9C63F18
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Effect Estimation of an Innovative Nursing Intervention to Improve Delirium among Home-Dwelling Older Adults: A Randomized Controlled Pilot Trial.
Périodique
Dementia and Geriatric Cognitive Disorders Extra
Auteur(s)
Verloo H., Goulet C., Morin D., von Gunten A.
ISSN
1664-5464 (Electronic)
ISSN-L
1664-5464
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
5
Numéro
1
Pages
176-190
Langue
anglais
Notes
Publication types: Journal Article Publication Status: epublish
Résumé
AIMS: Estimating the effect of a nursing intervention in home-dwelling older adults on the occurrence and course of delirium and concomitant cognitive and functional impairment.
METHODS: A randomized clinical pilot trial using a before/after design was conducted with older patients discharged from hospital who had a medical prescription to receive home care. A total of 51 patients were randomized into the experimental group (EG) and 52 patients into the control group (CG). Besides usual home care, nursing interventions were offered by a geriatric nurse specialist to the EG at 48 h, 72 h, 7 days, 14 days, and 21 days after discharge. All patients were monitored for symptoms of delirium using the Confusion Assessment Method. Cognitive and functional statuses were measured with the Mini-Mental State Examination and the Katz and Lawton Index.
RESULTS: No statistical differences with regard to symptoms of delirium (p = 0.085), cognitive impairment (p = 0.151), and functional status (p = 0.235) were found between the EG and CG at study entry and at 1 month. After adjustment, statistical differences were found in favor of the EG for symptoms of delirium (p = 0.046), cognitive impairment (p = 0.015), and functional status (p = 0.033).
CONCLUSION: Nursing interventions to detect delirium at home are feasible and accepted. The nursing interventions produced a promising effect to improve delirium.
Pubmed
Web of science
Open Access
Oui
Création de la notice
05/06/2015 15:27
Dernière modification de la notice
20/08/2019 12:28
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