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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.


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.

SUBMITTER: Rodrigues C 

PROVIDER: S-EPMC6726295 | BioStudies | 2019-01-01

SECONDARY ACCESSION(S): NCT03106064

REPOSITORIES: biostudies

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