A Prospective, Experimental Study to Assess the Effectiveness of Home Care Nursing on the Healing of Peristomal Skin Complications and Quality of Life

2018 ◽  
Vol 64 (10) ◽  
pp. 18-30
Author(s):  
Deniz Harputlu ◽  
Süheyla Ozsoy
2017 ◽  
Vol 26 (3) ◽  
pp. e321-e328 ◽  
Author(s):  
Marit Leegaard ◽  
Inger Utne ◽  
Liv Halvorsrud ◽  
Berit Taraldsen Valeberg ◽  
Astrid Torbjørnsen ◽  
...  

2021 ◽  
Vol 13 (3) ◽  
pp. 615-624
Author(s):  
Muhammad Agung Akbar ◽  
Henny Suzana Mediani ◽  
Neti Juniarti ◽  
Ahmad Yamin

Stroke menjadi permasalahan yang saat ini terus mengalami peningkatan di seluruh dunia termasuk Indonesia. Penanganan pasien stroke membutuhkan perawatan jangka panjang yang komprehesif melibatkan tenaga kesehatan dan keluarga dalam perawatan sehari-hari. Tinjauan sistematis untuk menganalisis intervensi perawatan pasien stroke selama dirumah dalam meningkatkan kualitas hidupnya. Pencarian artikel dilakukan pada data base elektronik diantaranya Science Direct, Pro-Quest, dan EbscoHost. Kata Kunci yang digunakan adalah stroke patients AND home care OR home rehabilitation AND quality of life. Kriteria artikel dipilih 1)diterbitkan pada tahun 2012-2020 2)full-text 3)artikel dalam Bahasa inggris 4) penelitian RCT atau experimental study. Artikel diseleksi sesuai kriteria dan didapatkan total 5 dari 705 artikel menggunakan PRISMA. Tinjauan sistematis ini menemukan bahwa ada konsistensi temuan di antara penelitian yang menunjukkan bahwa perawatan pasien stroke di rumah adalah pilihan yang efektif dalam pemulihan pasien dan berlangsung dengan optimal selama dirumah. Dukungan kualitas hidup pasien stroke membutuhkan perawatan lanjutan maka dari itu diperlukan peran dari keluarga yang mampu merawat serta menjaga pasien dengan baik sehingga pemulihan pasien dapat berlangsung dengan optimal selama dirumah.


2011 ◽  
Vol 17 (6) ◽  
pp. 313-317 ◽  
Author(s):  
Guy Paré ◽  
Claude Sicotte ◽  
Marie-Pierre Moreault ◽  
Placide Poba-Nzaou ◽  
Georgette Nahas ◽  
...  

Author(s):  
Noriko Morioka ◽  
Masayo Kashiwagi

Despite the importance of patient safety in home-care nursing provided by licensed nurses in patients’ homes, little is known about the nationwide incidence of adverse events in Japan. This article describes the incidence of adverse events among home-care nursing agencies in Japan and investigates the characteristics of agencies that were associated with adverse events. A cross-sectional nationwide self-administrative questionnaire survey was conducted in March 2020. The questionnaire included the number of adverse event occurrences in three months, the process of care for patient safety, and other agency characteristics. Of 9979 agencies, 580 questionnaires were returned and 400 were included in the analysis. The number of adverse events in each agency ranged from 0 to 47, and 26.5% of the agencies did not report any adverse event cases. The median occurrence of adverse events was three. In total, 1937 adverse events occurred over three months, of which pressure ulcers were the most frequent (80.5%). Adjusting for the number of patients in a month, the percentage of patients with care-need level 3 or higher was statistically significant. Adverse events occurring in home-care nursing agencies were rare and varied widely across agencies. The patients’ higher care-need levels affected the higher number of adverse events in home-care nursing agencies.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Faggian ◽  
S Favero ◽  
D Gregori ◽  
M Martinato

Abstract Background caregivers of home-cared cancer patient during palliative phase are often under psychological and physical pressure. This can lead to a low level quality of life (QoL). This study assesses the QoL of this type of caregiver, more specifically it aims to outline which factors (age, type of palliative care, amount of time spent daily with the patient) affect positively or negatively the QoL score. Methods The AC-QoL questionnaire has been completed by 25 caregivers of oncological patients in home care in north-eastern Italy. The questionnaire is made of 40 items divided into 8 subjects: support in care, choice of care, stress, economic issues, personal growth, sense of value, care skills and personal satisfaction. It has been administered during a home visit or during a follow-up phone call. Results The average score obtained is 71/120, which means a medium level of QoL. The factors which worsen the QoL are the psychological and physical stress (average score 5/15) and restrictions on caregivers' private life (average score 6/15). No significant differences in the QoL of the caregivers are related to social and personal variables (such as age, working condition, relationship with the patient, type of palliative care, amount of time spent daily with the patient). Conclusions These caregivers play a fundamental role in the management of an appropriate continuity of care and their health and QoL are important. Stress and restrictions on private life are the factors which worsen QoL, that's why nurses should evaluate the caregivers' wellbeing during home-visits. Caregivers usually feel able to offer adequate assistance if they have been adequately trained to by healthcare professionals: nurses should provide every useful tool to aloud the caregiver to feel able of and comfortable providing assistance to his/her relative trough an “empowerment process”. Key messages Caregiver of cancer patient in charge of home palliative care is fundamental for an appropriate continuity of care and his health and quality of life (QoL) are important to provide good assistance. Psycho-physical stress and restrictions on private life worsen QoL. Caregiver’s wellbeing should be assessed and useful tools should be provided by home care nurses to ease caregivers’ job.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 78-78
Author(s):  
Joanne Spetz ◽  
Jacqueline Miller ◽  
Connie Kwong ◽  
Laura Wagner

Abstract The Support at Home pilot program provided financial support for the purchase of home care services by middle-income adults with disabilities in San Francisco to support aging in place. Enrollees had income below the area median and made copayments based on household income. The mixed-methods evaluation of the program incorporated administrative records, surveys of clients and comparison group members, surveys of unpaid caregivers, surveys of paid care providers, and focus groups with clients and unpaid caregivers. Outcome measures included the Older People’s Quality of Life Questionnaire, Patient Health Questionnaire-2, an adapted Burden Scale for Family Caregivers, and self-reported falls, emergency department visits, and hospitalizations. Analyses included pre-post chi-squared and t-test comparisons between client and comparison groups and multivariate regressions. An economic analysis was conducted to learn whether changes in costs associated with reduced health care utilization were greater than the costs of the program. Results indicated statistically significant positive changes in client ratings of personal and financial stress, but not in the composite quality of life score. There were statistically significant reductions in attendance at medical appointments, falls, emergency department visits, and hospitalizations. Similar changes were not found in the comparison group. The focus group data supported the findings regarding personal and financial stress and indicated that clients and their caregivers perceived quality of life benefits. The economic analysis indicated substantial cost savings from the program due to reduced use of medical services. Due to its positive impacts, San Francisco has made Support at Home a permanent program.


2020 ◽  
pp. 084456212094942
Author(s):  
Connie Schumacher ◽  
Aaron Jones ◽  
Andrew P. Costa

Background Home care patients are a growing group of community-dwelling older adults with complex care needs and high health service use. Adult home care patients are at high risk for emergency department (ED) visits, which is greater on the same day as a nursing visit. Purpose The purpose of this study was to examine whether common nursing indicators modified the association between nursing visits and same-day ED visits. Methods A case-crossover design within a retrospective cohort of adult home care patients in Ontario. Results A total of 11,840 home care nursing patients were analyzed. Home care patients who received a home nursing visit were more likely to go the ED afterhours on the same day with a stronger association for visits not admitted to the hospital. Having a urinary catheter increased the risk of a same-day ED visit (OR: 1.78 (95% CI 1.15–1.60) vs. 1.21 (95% CI 1.15–1.28)). No other clinical indicator modified the association. Conclusions The findings of this study can be used to inform care policies and practices for home care nurses in the management of indwelling urinary catheter complications. Further examination of system factors such as capacity and resources available to respond to catheter related complications in the community setting are recommended.


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