Wyniki wyszukiwania - Biblioteka Nauki

Ten serwis zostanie wyłączony 2025-02-11.

Nowa wersja platformy, zawierająca wyłącznie zasoby pełnotekstowe, jest już dostępna.
Przejdź na https://bibliotekanauki.pl

Ograniczanie wyników

2 Progress in Health Sciences

Znaleziono wyników: 2

Liczba wyników na stronie

Wyniki wyszukiwania

Sortuj według:

Ogranicz wyniki do:

Assessment and physical activities of daily living among patients under long-term home care nursing

100%

Mojsa W. , Chlabicz S.

tom 5

nr 1

56-62

Purpose: To assess the degree of independence in physical activities of daily living for patients under long-term in-home nursing care; to evaluate any changes in physical activities of daily living at entry and after 90 days of in-home nursing care. Materials and methods: InterRAI-HC (Residental Assessment Instrument – Home Care) questionnaire was used as a tool according to the protocol and assessed patients at entry and again after 90 days. The participants consisted of 100 consecutive patients who were newly admitted to long-term in-home nursing care.Results: The analysis of total dependence showed that more than 50% of patients were entirely dependent in eight out of ten specified physical activities of daily living (except mobility in bed and food consumption). Intention to treat analysis was performed; the percentages of patients totally dependent in performing eating and mobility in bed actions increased significantly by the 90-day follow-up. Also a comparison of the mean value of independence for analyzed activities did not change significantly over the 90 days, with the only exception being the mean value of independence for dressing up the upper part of the body, which significantly improved after 90 days per protocol analysis. A high mortality rate is noted among these patients (15% by the 90 day follow-up). This probably resulted from the restrictive qualification criteria used in Poland for patients to receive this form of in-home healthcare service.Conclusions: The majority of patients who are under long-term in-home nursing care in Poland are entirely dependent when it comes to the physical activities of daily living.

Self-assessment of health condition among patients in long-term nursing home care

100%

Mojsa W. , Chlabicz S.

nr 1

76-80

Purpose: To determine the health condition self-assessment and the possibility to improve physical functioning of patients in long-term nursing-home care. Materials and Methods: InterRAI-HC (Residential Assessment Instrument – Home Care) questionnaire was used to assess health condition and healthcare needs of a patient's in home care. A total of 100 consecutive patients who were newly admitted to long-term nursing-home care within NFZ (National Health Fund) contract in 2009-2010 took part in the study. Results: Patients most frequently assessed their health condition as poor (73.5%), only 3% ranked their health as good or fair, and self-assessment of health condition changed significantly in the range of age (p=0.017). Comparative analysis seems to indicate that the respondent more frequently assessed their health condition as good or fair in the periodic examination (6.0%) as compared to the initial examination (2.4%). Significant changes (p<0.001) were observed among the initial and the periodic examination the respondents more frequently assessed their health condition as good or fairer than as poor. In the periodic examination, more patients positively assessed the possibility of the improvement than in the initial examination (18.1% vs. 15.7%; p<0.001). Conclusions: Most patients under the long-term nursing-home care negatively ranked their own health condition. Long-term nursing-home care may have a beneficial effect on the emotional sphere of patients – more positive self-assessment tendency was observed after 90 days of care. It seems that qualifying patients with less advanced dependence in physical daily life activities to long-term nursing-home care could improve subjective assessment of health condition and increase the possibility to ameliorate physical functioning.