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Effects of a continuum of care intervention on frail elders’ self-rated health, experiences of security/safety and symptoms: A randomised controlled trial

Artikel i vetenskaplig tidskrift
Författare Zahra Ebrahimi
Kajsa Eklund
Synneve Dahlin-Ivanoff
Annika Jakobsson
Katarina Wilhelmson
Publicerad i Nordic Journal of Nursing Research
Volym 37
Nummer/häfte 1
Sidor 33–43
ISSN 2057-1585
Publiceringsår 2017
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering
Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Institutionen för vårdvetenskap och hälsa
Centrum för åldrande och hälsa (AgeCap)
Sidor 33–43
Språk en
Länkar dx.doi.org/10.1177/2057158516668710
Ämnesord experiences of health, frail older people, integrated care, person-centred care, security/safety, symptoms
Ämneskategorier Omvårdnad

Sammanfattning

We aimed to evaluate effects of the intervention on self-rated health, experiences of security/safety and symptoms. A nonblinded controlled trial was performed with participants randomised to either the intervention group or a control group, with follow-ups at 3, 6 and 12 months. The intervention involved collaboration between a nurse with geriatric competence at the emergency department, the hospital wards and a multi-professional team for care and rehabilitation of older adults, with a case manager from the municipality as the hub. Older people who sought care at the emergency department at Sahlgrenska University Hospital/Mo¨ lndal and who were discharged to their own homes in the Mo¨ lndal municipality were asked to participate. Inclusion criteria were age 80 years and older, or 65 to 79 years with at least one chronic disease and dependency in at least one activity of daily living. Analyses were conducted on the basis of the intention-to-treat principle. Outcome measures were self-rated health, experiences of security/safety and symptoms. These were analysed using Svensson’s method. Of 161 participants, 76 were allocated to the control group and 85 to the intervention group. Positive effects of the intervention were observed for frail older adult’s symptoms and self-rated health.

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