Pubblicazioni

Autori:

Palese, Alvisa; Gonella, Silvia; Moreale, Renzo; Guarnier, Annamaria; Barelli, Paolo; Zambiasi, Paola; Allegrini, Elisabetta; Bazoli, Letizia; Casson, Paola; Marin, Meri; Padovan, Marisa; Picogna, Michele; Taddia, Patrizia; Salmaso, Daniele; Chiari, Paolo; Frison, Tiziana; Marognolli, Oliva; Benaglio, Carla; Canzan, Federica; Ambrosi, Elisa; Saiani, Luisa

Titolo:

Hospital-acquired functional decline in older patients cared for in acute medical wards and predictors: Findings from a multicentre longitudinal study

Anno:

2016

Tipologia prodotto:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Lingua:

Inglese

Referee:

Sì

Nome rivista:

GERIATRIC NURSING

ISSN Rivista:

0197-4572

N° Volume:

37

Numero o Fascicolo:

3

Intervallo pagine:

192-199

Parole chiave:

Functional dependence; Functional recovery; Functional stability; Hospital; Longitudinal study; Medical units; Nursing care; Predictors

Breve descrizione dei contenuti:

Describing the trajectories of hospital-associated functional decline in older patients admitted to acute medical units and identifying predictors at the individual, nursing, and hospital levels, were the aims of the study. A longitudinal survey among 12 acute medical units in which 1464 patients were consecutively enrolled and evaluated using the Barthel Index (BI), was performed. Functional decline was defined as a decrease in the BI of at least 5 points from admission to discharge. In all, 17.1% participants (n = 251) demonstrated functional decline. In accordance with multiple logistic regression analysis, 28.8% (R(2)) of the variance in the functional decline was explained by: confusion/disorientation (RR = 4.684; 95% CI = 3.144-6.978), admission from nursing homes (RR = 2.464; 95% CI = 1.642-3.697), daily care expressed in minutes offered by nursing aides (RR = 1.535; 95% CI = 1.275-1.849), higher workforce skill-mix (RR = 2.221; 95% CI = 1.763-2.797), bladder catheter insertion (RR = 1.599; 95% CI = 1.128-2.268), and higher BI score at admission (RR = 1.019; 95% CI = 1.014-1.024). Increasing the amount of care delivered by competent nurses-having a bachelors degree-providing and supervising direct-care activities, may reduce the occurrence of functional decline in older patients admitted to medical units.

Id prodotto:

91499

Handle IRIS:

11562/938559

ultima modifica:

14 novembre 2022

Citazione bibliografica:

Palese, Alvisa; Gonella, Silvia; Moreale, Renzo; Guarnier, Annamaria; Barelli, Paolo; Zambiasi, Paola; Allegrini, Elisabetta; Bazoli, Letizia; Casson, Paola; Marin, Meri; Padovan, Marisa; Picogna, Michele; Taddia, Patrizia; Salmaso, Daniele; Chiari, Paolo; Frison, Tiziana; Marognolli, Oliva; Benaglio, Carla; Canzan, Federica; Ambrosi, Elisa; Saiani, Luisa, Hospital-acquired functional decline in older patients cared for in acute medical wards and predictors: Findings from a multicentre longitudinal study «GERIATRIC NURSING» , vol. 37 , n. 3 , 2016 , pp. 192-199

Consulta la scheda completa presente nel repository istituzionale della Ricerca di Ateneo