{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T13:50:34Z","timestamp":1724075434383},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Hospitalization often leads to long periods of bed rest and inactivity which is associated with an increase in length of hospital stay, loss of capacity for basic self-care and discharge into a nursing home.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Objective:<\/jats:title>\n            <jats:p>This trial aims to verify if a nursing care program centered on basic self-care and predefined physical activity, improves functional outcomes in older hospitalized patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>This is a 2-group randomized controlled trial with repeated measures: 182 older acute medical patients will be blindly randomly allocated to the control group (n\u200a=\u200a91) or intervention group (n\u200a=\u200a91). The intervention will consist of nursing care intervention centered on basic self-care that includes a twice daily walking training, plus privileging pre-established trips to the toilet by walking and all daytime meals seated, off the bed. The main outcome was changes in the number of independent activities of daily living from 2 weeks before admission (baseline) to discharge. Trial registration: ClinicalTrials.gov (Identifier NCT03106064).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>This intervention has the potential to change the outcomes of the older patient in the acute setting.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>The loss of independence in self-care is determinant in future health care needs. If our hypothesis is correct and demonstrate that this nursing care program centered on basic self-care for older acute medical patients improves functional outcomes, a change in the paradigmatic organization of hospital care may be justifiable.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1016\/j.pbj.0000000000000024","type":"journal-article","created":{"date-parts":[[2018,10,2]],"date-time":"2018-10-02T17:35:42Z","timestamp":1538501742000},"page":"e24","source":"Crossref","is-referenced-by-count":4,"title":["Effects of a nursing care program on functional outcomes in older acute medical in-patients: protocol for a randomized controlled trial"],"prefix":"10.1097","volume":"4","author":[{"given":"Cec\u00edlia","family":"Rodrigues","sequence":"first","affiliation":[{"name":"Doutoramento em Ci\u00eancias de Enfermagem, Instituto de Ci\u00eancias Biom\u00e9dicas Abel Salazar, Universidade do Porto"},{"name":"Medicina C, Departamento de Medicina, Centro Hospitalar do Porto"},{"name":"Gabinete de Governa\u00e7\u00e3o Cl\u00ednica, Departamento da Qualidade, Centro Hospitalar do Porto"}]},{"given":"Denisa","family":"Mendon\u00e7a","sequence":"additional","affiliation":[{"name":"Doutoramento em Ci\u00eancias de Enfermagem, Instituto de Ci\u00eancias Biom\u00e9dicas Abel Salazar, Universidade do Porto"},{"name":"EPIUnit, Instituto de Sa\u00fade P\u00fablica, Universidade do Porto"}]},{"given":"Maria Manuela","family":"Martins","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem do Porto"},{"name":"Grupo de Investiga\u00e7\u00e3o NursID: Inova\u00e7\u00e3o e Desenvolvimento em Enfermagem \u2013 Centro de Investiga\u00e7\u00e3o em Tecnologias e Servi\u00e7os de Sa\u00fade (CINTESIS), Universidade do Porto, Porto, Portugal."}]}],"member":"276","reference":[{"key":"R1-20230824","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1111\/ijn.12134","article-title":"Prevention of functional decline in older hospitalized patients: nurses should play a key role in safe and adequate care","volume":"20","author":"Hoogerduijn","year":"2014","journal-title":"Int J Nurs Pract."},{"key":"R2-20230824","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1046\/j.1532-5415.2003.51152.x","article-title":"Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: increased vulnerability with age","volume":"51","author":"Covinsky","year":"2003","journal-title":"J Am Geriatr Soc."},{"key":"R3-20230824","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1093\/gerona\/glw096","article-title":"The severity of acute illness and functional trajectories in hospitalized older medical patients","volume":"72","author":"Fimognari","year":"2017","journal-title":"J Gerontol A Biol Sci Med Sci."},{"key":"R4-20230824","first-page":"253","article-title":"Predictive factors of functional decline at hospital discharge in elderly patients hospitalised due to acute illness [in Spanish]","volume":"52","author":"Condorhuaman-Alvarado","year":"2017","journal-title":"Rev Esp Geriatr Gerontol."},{"key":"R5-20230824","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1001\/archinte.1996.00440060067008","article-title":"Functional outcomes of acute medical illness and hospitalization in older persons","volume":"156","author":"Sager","year":"1996","journal-title":"Arch Intern Med."},{"key":"R6-20230824","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1097\/01.NAJ.0000454850.14395.eb","article-title":"A mobility program for an inpatient acute care medical unit","volume":"114","author":"Wood","year":"2014","journal-title":"Am J Nurs."},{"key":"R7-20230824","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1111\/j.1532-5415.2010.03276.x","article-title":"Low mobility during hospitalization and functional decline in older adults","volume":"59","author":"Zisberg","year":"2011","journal-title":"J Am Geriatr Soc."},{"key":"R8-20230824","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1179\/acb.2009.034","article-title":"Risk factors predicting later functional decline in older hospitalized patients","volume":"64","author":"De Saint-Hubert","year":"2009","journal-title":"Acta Clin Belg."},{"key":"R9-20230824","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1111\/j.1532-5415.1990.tb03451.x","article-title":"The natural history of functional morbidity in hospitalized older patients","volume":"38","author":"Hirsch","year":"1990","journal-title":"J Am Geriatr Soc."},{"key":"R10-20230824","doi-asserted-by":"crossref","first-page":"79","DOI":"10.7326\/0003-4819-110-1-79","article-title":"Effect of a geriatric consultation team on functional status of elderly hospitalized patients. 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