دورية أكاديمية
Nursing workload predictors in Catalonia (Spain): a home care cohort study.
| العنوان: | Nursing workload predictors in Catalonia (Spain): a home care cohort study. |
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| المؤلفون: | Gené Badia J; Consorci d'Atenció Primària de Salut de l'Eixample (CAPSE), Barcelona, España. jgene@clinic.ub.es, Borràs Santos A, Carles Contel Segura J, Camprubí Casellas MA, Cegri Lombardo F, Heras Tebar A, Noguera Rodríguez R, González Martínez S, Oliver Olius A, Piñeiro González M, Montanuy Baró T, Limón Ramírez E, Aranzana Martínez A, Pedret Llaberia R, Borrell Muñoz M, Hidalgo García A |
| المصدر: | Gaceta sanitaria [Gac Sanit] 2011 Jul-Aug; Vol. 25 (4), pp. 308-13. Date of Electronic Publication: 2011 Apr 13. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier España Country of Publication: Spain NLM ID: 8901623 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1578-1283 (Electronic) Linking ISSN: 02139111 NLM ISO Abbreviation: Gac Sanit Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Madrid : Elsevier España Original Publication: [Barcelona] : Ajuntament de Barcelona, Àrea de Sanitat, Salut Pública i Medi Ambient, 1987- |
| مواضيع طبية MeSH: | Home Care Services/*statistics & numerical data , House Calls/*statistics & numerical data , Workload/*statistics & numerical data, Activities of Daily Living ; Aged ; Aged, 80 and over ; Chronic Disease/nursing ; Cognition Disorders/nursing ; Comorbidity ; Dependency, Psychological ; Female ; Follow-Up Studies ; Forecasting ; Health Status ; Humans ; Male ; Pressure Ulcer/nursing ; Social Class ; Spain |
| مستخلص: | Objective: To identify the characteristics of chronic patients and their environment in order to predict the nursing workload required 1 year after their inclusion in a home care program. Methods: A longitudinal study was carried out in 72 primary health care teams in Catalonia (Spain) with a 1-year follow-up of 1,068 home care patients over 64 years old. The variables collected from each patient included data on health and social status (Charlson and Barthel indexes and the Pfeiffer, Braden and Gijon scales), carer overburden (Zarit scale), hospital admissions, use of emergency services, self-perceived health (SF-12) and the number of health worker visits. Results: Patients received 7.2 (SD 10.4) visits per year from their nurse-in-charge, out of a total of 8.7 (SD 13.1) nursing visits per year. Risk factors for receiving more nursing visits at home were male gender (IRR=1.42, 95%CI: 1.20-1.67), dependency for daily activities (IRR=1.65, 95%CI: 1.29-2.13), decubitus ulcers (IRR=4.03, 95%CI: 2.27-7.14) and receiving emergency medical care at home (IRR=1.65, 95%CI: 1.31-2.07). In contrast, patients with major cognitive impairment (IRR=0.78, 95%CI: 0.63-0.98) had a lower probability of receiving nursing visits at home. Conclusions: Workload can be predicted by patients' clinical characteristics. The positive correlation of workload with variables related to disease severity and the negative correlation with variables related to cognitive impairment show that home care nursing in Catalonia is basically demand-oriented. (Copyright © 2010 SESPAS. Published by Elsevier Espana. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20110416 Date Completed: 20111219 Latest Revision: 20191210 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.gaceta.2010.12.011 |
| PMID: | 21492967 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1578-1283 |
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| DOI: | 10.1016/j.gaceta.2010.12.011 |