Home Health Care Management and Practice最新文献_第8页

Development of Supportive-Educative Range of Motion Exercise for Post-stroke Patients: A Pilot Study 脑卒中后患者运动训练支持性教育范围的初步研究

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-07-28 DOI: 10.1177/10848223211035713

E. L. Sjattar, Irna Megawati, A. Irwan, Sintawati Majid

{"title":"Development of Supportive-Educative Range of Motion Exercise for Post-stroke Patients: A Pilot Study","authors":"E. L. Sjattar, Irna Megawati, A. Irwan, Sintawati Majid","doi":"10.1177/10848223211035713","DOIUrl":"https://doi.org/10.1177/10848223211035713","url":null,"abstract":"The purpose of this pilot study was to assess of home care intervention on post-stroke related outcome of range of motion and muscle strength. Sample in 40 participants were divided into the intervention group and control group and included in this study according to the following criteria: post-stroke period of <12 months with hemiparesis, age of ≥18 years, and willingness to participate in the study. The intervention was carried out by nurses by providing education for 2 consecutive days and mentoring for 5 consecutive days, while the control group was given standard care and measured using a grip track, handheld dynamometer, and goniometer examination on June to September 2019. For the intervention group, paired t-test analysis confirmed a significant increase in the mean upper extremity muscle strength before (35.770 ± 46.063) and after (51.073 ± 50.866) the 7 day intervention (p = .002), whereas the control group showed a value 36.570 ± 33.684 and then 31.400 ± 31.760 p = .256 and lower extremity strength before (3.627 ± 1.585) and after (4.365 ± 1.698) the 7-days intervention (p = .000), whereas the control group showed a value 3.657 ± 1.671 and then 4.043 ± 1.849 p = .013. Almost all the items assessed from Range of Motion (ROM) in the upper and lower extremities showed a significant increase (p < .05). Supportive-educative ROM exercise significantly contributed to an increase in the average muscle strength and ROM in post-stroke patients.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"34 1","pages":"92 - 100"},"PeriodicalIF":1.1,"publicationDate":"2021-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10848223211035713","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45904145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Longitudinal Impact of Community-Based Rehabilitation Programs on Functional Recovery After Stroke: A Scoping Review 基于社区的康复计划对脑卒中后功能恢复的纵向影响:一项范围综述

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-07-21 DOI: 10.1177/10848223211035536

Ingyu Yoo

引用次数: 0

Effect of COVID-19 on High-risk Neonate Home Care Program: An Audit Study COVID-19对高危新生儿家庭护理计划的影响:一项审计研究

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-07-21 DOI: 10.1177/10848223211035320

Afsaneh Ansari, faramarz kalhor, R. Toghyani, Mahboobeh Namnabati

{"title":"Effect of COVID-19 on High-risk Neonate Home Care Program: An Audit Study","authors":"Afsaneh Ansari, faramarz kalhor, R. Toghyani, Mahboobeh Namnabati","doi":"10.1177/10848223211035320","DOIUrl":"https://doi.org/10.1177/10848223211035320","url":null,"abstract":"One of the most important goals of the health system in this pandemic was to provide a home care for the high-risk neonates. The aim of this study was to audit a high-risk neonate home care program during the COVID-19 pandemic. This descriptive-analytical study was conducted with the participation of 158 high-risk neonates discharged from neonatal intensive care units of hospitals. Data collection was performed through questionnaire and a researcher-made checklist. The researcher observed and evaluated 7 areas of healthcare. The study was first performed in person, but after the COVID-19 pandemic, the researcher evaluated these cares in absentia. The results of the study showed that the mean score of in-person “conduction” was 56.7 and in-absentia conduction was 52.5 and the mean score of in-person “education” was 63.6 and in-absentia conduction was 65.6. The results showed that there was no significant difference between the in-person and in-absentia methods. Moreover, while 53.2% of caregivers performed well, 33.5% of them performed poorly. According to the results, the implementation of home care program for high-risk neonates is relatively desirable. However, some regular evaluation and review need to be conducted on instructions and implementations. Regular education of caregivers and, finally, regular in-person and in-absentia monitoring is essential. In-absentia home care during the COVID-19 pandemic was not an obstacle to the implementation of the program and it was implemented through telephone and follow-up.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"33 1","pages":"314 - 319"},"PeriodicalIF":1.1,"publicationDate":"2021-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10848223211035320","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48250623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Utilizing Assessment Tools in Decreasing Fall Risk Among Community-Dwelling Adults: A Quality Improvement Project 利用评估工具降低社区居住成年人跌倒风险:一个质量改善项目

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-07-19 DOI: 10.1177/10848223211034773

Justin Fontenot

{"title":"Utilizing Assessment Tools in Decreasing Fall Risk Among Community-Dwelling Adults: A Quality Improvement Project","authors":"Justin Fontenot","doi":"10.1177/10848223211034773","DOIUrl":"https://doi.org/10.1177/10848223211034773","url":null,"abstract":"Although there are standardized fall risk assessment tools in home care clinical practice, there are no standardized tools to reduce fall risk. This quality improvement project aims to test the adaptability of the Fall TIPS (Tailoring Interventions for Patient Safety) tool among the community-dwelling adult population by measuring the impact of the tool’s implementation on client fall risk. Participants included n = 54 clients enrolled in home care and n = 14 members of the clinical team. This project used a quantitative method with a quasi-experimental pre-and post-intervention design. The quality improvement project implemented the Fall TIPS tool, and fall risk was measured using the Morse Fall Risk Assessment (MFRA). The Fall TIPS tool was provided to participants by visiting staff, and interventions were selected based on the participant’s assessment. Participants’ fall risk was scored during in-person home visits, and the results were recorded in the electronic health record. A dependent 2-tailed t-test measured the variance of means between the pre-and-post groups. The pre-intervention MFRA score mean was 63.43 ± 22.52; p = .000 and the mean score in the post-intervention group was 58.15 ± 22.49; p = .000. The mean difference between the pre-and post-groups was 5.28. Implementing the Fall TIPS toolkit in the home care clinical setting reduced fall risk post-intervention and offered tools for future evaluation in home care settings.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"34 1","pages":"101 - 108"},"PeriodicalIF":1.1,"publicationDate":"2021-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10848223211034773","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45799002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Associated With Care Trajectory Following Acute Functional Decline in Older Home Nursing Care Patients: A Prospective Observational Study 老年家庭护理患者急性功能衰退后护理轨迹的相关因素:一项前瞻性观察研究

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-07-19 DOI: 10.1177/10848223211034774

Kristin Jeppestøl, V. Vitelli, M. Kirkevold, L. K. Bragstad

{"title":"Factors Associated With Care Trajectory Following Acute Functional Decline in Older Home Nursing Care Patients: A Prospective Observational Study","authors":"Kristin Jeppestøl, V. Vitelli, M. Kirkevold, L. K. Bragstad","doi":"10.1177/10848223211034774","DOIUrl":"https://doi.org/10.1177/10848223211034774","url":null,"abstract":"Health policies and previous research highlight the importance of early identification and treatment of clinical deterioration in older patients to prevent frailty, higher levels of care, and mortality. This study explores older home nursing care patients’ care trajectories and factors associated with clinical response (type and level of intervention) from the health care services, final level of community care and death within 3 months after an incidence of acute functional decline. This observational study with a prospective, descriptive design includes a sample of 135 older home nursing care patients with acute functional decline. Demographic, health-related, and clinical characteristics were analyzed and prediction models for care trajectories were fitted using Bayesian generalized mixed models. Age ranged from 65 to 100, with a median age of 85. Hospital admission were registered for 13.33% (T1) and 8.77% (T2) of the participants. Nine patients (6.7%) were transferred to a higher level of community care, and 11 patients (8.1%) died. Frequent transitions between levels of care characterized care trajectories for patients experiencing more severe functional decline. Age, living in a private home, and increased Modified Early Warning Scores (MEWS) were associated with level of clinical responses throughout the care trajectory. Living in a private home was associated with the patients’ final level of community care. Female gender, hospital admission, and increased MEWS scores were associated with death. Health care personnel must be vigilant when MEWS scores rise even slightly, as this might be an indication of acute functional decline with possible increased risk of mortality.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"34 1","pages":"42 - 51"},"PeriodicalIF":1.1,"publicationDate":"2021-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10848223211034774","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42863950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Social Networks as A Predictive Factor in Preserving Cognitive Functioning During Aging: A Systematic Review 社会网络作为老龄化过程中保持认知功能的预测因素：系统综述

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-07-09 DOI: 10.1177/10848223211030448

Ingyu Yoo

引用次数: 2

Exploring the Association between Multimorbidity and Cognitive Impairment in Older Adults Living in the Community: A Review of the Literature 探讨社区老年人多发病与认知障碍的关系：文献综述

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-07-04 DOI: 10.1177/10848223211030468

Grace F. Wittenberg, Michelle A. McKay, Melissa L. O’Connor

{"title":"Exploring the Association between Multimorbidity and Cognitive Impairment in Older Adults Living in the Community: A Review of the Literature","authors":"Grace F. Wittenberg, Michelle A. McKay, Melissa L. O’Connor","doi":"10.1177/10848223211030468","DOIUrl":"https://doi.org/10.1177/10848223211030468","url":null,"abstract":"Two-thirds of older adults have multimorbidity (MM), or co-occurrence of two or more medical conditions. Mild cognitive impairment (CI) is found in almost 20% of older adults and can lead to further cognitive decline and increased mortality. Older adults with MM are the primary users of home health care services and are at high risk for CI development; however, there is no validated cognitive screening tool used to assess the level of CI in home health users. Given the prevalence of MM and CI in the home health setting, we conducted a review of the literature to understand this association. Due to the absence of literature on CI in home health users, the review focused on the association of MM and CI in community-dwelling older adults. Search terms included home health, older adults, cognitive impairment, and multimorbidity and were applied to the databases PubMed, CINAHL, and PsychInfo leading to eight studies eligible for review. Results show CI is associated with MM in older adults of increasing age, among minorities, and in older adults with lower levels of education. Heart disease was the most prevalent disease associated with increased CI. Sleep disorders, hypertension, arthritis, and hyperlipidemia were also significantly associated with increased CI. The presence of MM and CI was associated with increased risk for death among older adults. Further research and attention are needed regarding the use and development of a validated cognitive assessment tool for home health users to decrease adverse outcomes in the older adult population.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"34 1","pages":"52 - 62"},"PeriodicalIF":1.1,"publicationDate":"2021-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10848223211030468","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45057007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Assessing the Structural Characteristics of the Japanese Version of the Adult Social Care Outcomes Toolkit for Carers 评估日语版成人社会护理护理成果工具包的结构特征

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-07-04 DOI: 10.1177/10848223211030269

H. Nakamura-Thomas, M. Yamaguchi, I. Yamaguchi, Stacey E Rand

{"title":"Assessing the Structural Characteristics of the Japanese Version of the Adult Social Care Outcomes Toolkit for Carers","authors":"H. Nakamura-Thomas, M. Yamaguchi, I. Yamaguchi, Stacey E Rand","doi":"10.1177/10848223211030269","DOIUrl":"https://doi.org/10.1177/10848223211030269","url":null,"abstract":"Due to the absence of standardized Quality of Life (QoL) measures for informal family caregivers of recipients of long-term care (LTC) in Japan, translation and cross-cultural adapted LTC outcome measures are needed for research and evaluation. In this study, we assessed the validity and reliability of the factor structure and response system of the translated and cross-culturally adapted Japanese version of the Adult Social Care Outcomes Toolkit for Carer (J-ASCOT-Carer). Participants were 872 informal family caregivers of adults who lived at home and required LTC services. Almost half (46%) of the participants were between 50 and 59 years old, 85% were employed, and 69% resided with their care recipients. We used the combined factor analysis and item response theory approach. Model fit indices included factor loading, path coefficients, root mean square error of approximation, standardized root mean square residual, and comparative fit index. This study confirmed the one factor structure that was identified in the original English version of the ASCOT-Carer. The values for the model fit indices indicated a good fit. Moreover, the validity and reliability of the response system were confirmed. Therefore, the J-ASCOT-Carer is a reliable assessment instrument to measure QoL of Japanese caregivers of adults requiring LTC.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"34 1","pages":"17 - 23"},"PeriodicalIF":1.1,"publicationDate":"2021-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10848223211030269","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49275398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Home Health Nurses’ Journey Toward Culture-Sensitive/Patient-Centered Skills: A Grounded Theory Study 家庭保健护士走向文化敏感/以病人为中心的技能之旅:一个有根据的理论研究

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-06-23 DOI: 10.1177/10848223211027860

M. Narayan, R. Mallinson

{"title":"Home Health Nurses’ Journey Toward Culture-Sensitive/Patient-Centered Skills: A Grounded Theory Study","authors":"M. Narayan, R. Mallinson","doi":"10.1177/10848223211027860","DOIUrl":"https://doi.org/10.1177/10848223211027860","url":null,"abstract":"Introduction. Home health patients, who are members of minority and vulnerable groups, suffer disparate outcomes. Patient-centered care (PCC) and culturally-competent care (CCC) aim to facilitate high-quality, equitable care. How home health nurses incorporate PCC and CCC principles into their assessment and care-planning practices has not been -investigated. This study answers the question, “What is the process by which home health nurses develop their culture-sensitive/patient-centered assessment and care planning skills?” Methods. Home health nurses (n= 20) were recruited into this grounded theory study from agencies around the United States via flyers, websites, and contacts. We conducted in-depth recorded interviews using a semi-structured interview guide to ask questions about nurses’ assessment and care-planning practices, their understanding of CCC and PCC principles, and facilitators/barriers to CCC and PCC practice. Results. Participants primarily gained their CCC and PCC assessment and care-planning skills through a “seat of your pants,” trial-and-error process, with little educational or agency assistance. They combined caring, diverse patient experiences, and critical, creative self-reflection on their experiences to gradually learn helpful, though not optimal, CCC and PCC strategies. However, they reported numerous barriers that discouraged or distressed them in their quest to deliver culturally-competent and patient-centered care. Only a few nurses demonstrated the resilience to overcome these challenges creatively and happily. Conclusion. If we accept that patient-centered care and culturally competent care are key elements of high-quality, equitable care, this grounded theory may help home healthcare clinicians, administrators, educators, and policy-makers identify impact points for enhancing CS/PC practices.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"234 3-4","pages":"24 - 34"},"PeriodicalIF":1.1,"publicationDate":"2021-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10848223211027860","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41309325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

The Experience of Caregiving for an Adult Sibling with Down Syndrome 唐氏综合征成年兄弟姐妹的护理体会

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-06-18 DOI: 10.1177/10848223211027861

Patricia Sciscione

{"title":"The Experience of Caregiving for an Adult Sibling with Down Syndrome","authors":"Patricia Sciscione","doi":"10.1177/10848223211027861","DOIUrl":"https://doi.org/10.1177/10848223211027861","url":null,"abstract":"Adults with Down syndrome are living longer than ever before and are likely to outlive their parents. Adult siblings have been identified as future caregivers, yet little is known about this experience. The prominent caregiving literature focuses on the anticipation of caregiving rather than on the experience of being a caregiver. The aim of this study was to explore the lived experience of being a caregiver to an adult sibling with Down syndrome. A descriptive phenomenological approach was used to interview seven siblings who were partial and full caregivers for an adult sibling with Down syndrome. The participants fulfilled multiple roles in the lives of their siblings throughout their adult lives, but felt unprepared to fulfill the duties of being full-time caregivers upon the death of their parents. Navigation of the social service system was complex and frustrating with no support or guidance. Everyday tasks of caregiving were time consuming and managing the medical and social service needs of their siblings was viewed as a huge responsibility. Participants felt the responsibilities of caregiving put limitations on their personal lives. Despite the challenges, participants felt caregiving had benefits also. The transition to being caregivers was difficult because of the lack of planning by their parents, yet participants have not made plans for the future succession of caregiving. Implications are identified for healthcare and social service professionals to aid families in the care of adults with Down syndrome and in planning for the future transition of caregiving in families.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"34 1","pages":"3 - 8"},"PeriodicalIF":1.1,"publicationDate":"2021-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10848223211027861","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42693172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2