Effectiveness of a Nursing Consultation Intervention for Older People with Functional Mobility Impairments: A Prospective, Longitudinal Study

Steve Strupeit ； Karin Wolf-Ostermann ； Arne Buβ ； Theo Dassen

《The Journal of Nursing Research》 21卷4期 (2013/12) Pp. 279-288

https://doi.org/10.1097/JNR.0000000000000001

並列摘要

Background: There is a need for prevention strategies in elderly individuals with mobility impairments.Purpose: The aim of this study was to determine the effects of nursing consultations on the functional abilities and quality of life of elderly individuals with mobility impairments after discharge from a rehabilitation facility.Methods: A single-site, prospective, longitudinal study with a nonequivalent control group pretest-posttest design was conducted in a geriatric rehabilitation facility and in the living environments of the patients after discharge. The intervention consisted of nurse-delivered consulting home visits and follow-up telephone calls. Patient quality of life and functional status were the primary outcomes, and self-efficacy was the secondary outcome. Data were collected at admission, at discharge, and at a 6-month follow-up visit.Results: A cohort of 124 patients participated in the study. The intervention group showed a nonsignificant improvement in functional status compared with the control group. The intervention did not affect quality of life, except for a trend toward significance in the social domain (p = .060).Conclusions: The findings of this study suggest that nursing consultations do not significantly improve functional status and have almost no effect on quality of life.

並列關鍵字

nurse consulting ； mobility ； quality of life ； older people

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