Titre
Effect Estimation of an Innovative Nursing Intervention to Improve Delirium among Home-Dwelling Older Adults: A Randomized Controlled Pilot Trial.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Auteur(s)
Verloo, H.
Auteure/Auteur
Goulet, C.
Auteure/Auteur
Morin, D.
Auteure/Auteur
von Gunten, A.
Auteure/Auteur
Liens vers les personnes
ISSN
1664-5464
Statut éditorial
Publié
Date de publication
2015
Volume
5
Numéro
1
Première page
176
Dernière page/numéro d’article
190
Peer-reviewed
Oui
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.
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.
PID Serval
serval:BIB_0629E9C63F18
PMID
Open Access
Oui
Date de création
2015-06-05T14:27:35.939Z
Date de création dans IRIS
2025-05-20T17:09:07Z
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Nom
BIB_0629E9C63F18.P001.pdf
Version du manuscrit
published
Taille
1.7 MB
Format
Adobe PDF
PID Serval
serval:BIB_0629E9C63F18.P001
URN
urn:nbn:ch:serval-BIB_0629E9C63F187
Somme de contrôle
(MD5):561afabd5ea0ab04269c4087631df51f