Assessment of the effects of a multi-component, individualized physiotherapy program in patients receiving hospice services in the home.
Background: The interest in physiotherapy programs for individuals in hospice is increasing. The aim of our study was to assess the impact of a multi-component, individualized physiotherapy program on the functional and emotional conditions and quality of life of patients receiving hospice services...
| Publicado en: | BMC Palliative Care Vol. 19; no. 1; pp. 1 - 14 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BioMed Central
7/9/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144473250&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144473250 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1472684X 1CID jtl: BMC Palliative Care issn: 1472684X maglogo: N pubinfo: dt: 7/9/2020 vid: 19 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 144473250 144473250 144473250 10.1186/s12904-020-00600-6 144473250 ppf: 1 ppct: 13 formats: tig: atl: Assessment of the effects of a multi-component, individualized physiotherapy program in patients receiving hospice services in the home. aug: au: Ćwirlej-Sozańska, Agnieszka Wójcicka, Agnieszka Kluska, Edyta Stachoń, Anna Żmuda, Anna affil: Institute of Health Sciences, Medical College of Rzeszow University, Rzeszow, Poland sug: subj: Physical Therapy Methods Individualized Medicine Hospice Care Palliative Care Home Health Care Gerontologic Care Treatment Outcomes Human Aged Program Evaluation Respiration Evaluation Muscle Strengthening Gait Analysis Balance Training, Physical Ergonomics Activities of Daily Living Evaluation Scales Quality of Life Evaluation Visual Analog Scaling Pain Measurement Geriatric Depression Scale International Classification of Functioning, Disability, and Health Accidental Falls Risk Factors Emotions Aged: 65+ years ab: Background: The interest in physiotherapy programs for individuals in hospice is increasing. The aim of our study was to assess the impact of a multi-component, individualized physiotherapy program on the functional and emotional conditions and quality of life of patients receiving hospice services in the home. Methods: The study included 60 patients (mean 66.3 years) receiving hospice services in the home. A model of a physiotherapy program was designed, including breathing, strengthening, transfer, gait, balance, functional, and ergonomic exercises, as well as an adaptation of the patient's living environment to functional needs. The tests were performed before and after the intervention. The study used the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) scales, the World Health Organization Quality of Life - Bref (WHOQOL-BREF), the Visual Analogue Scale (VAS) pain scale, the Tinetti POMA Scale, and the Geriatric Depression Scale (GDS). To enable comparison of our results worldwide, a set of International Classification of Functioning, Disability and Health (ICF) categories was used. Results: The average functional level of the ADL (mean 2.9) and the IADL (mean 11.9), as well as the WHOQOL-BREF (mean 46.4) of the patients before the intervention were low, whereas the intensity of pain (VAS mean 5.8), the risk of falling (Tinetti mean 8.2), and depression (GDS mean 16.7) were recorded as high. After the completion of the intervention program, a significant improvement was found in the ADL (mean 4.0), IADL (mean 13.9), WHOQOL-BREF (mean 52.6), VAS (mean 5.1), risk of falling (Tinetti mean 12.3), and GDS (mean 15.7) scores. Conclusions: The physiotherapeutic intervention had a significant impact on improving the performance of ADL, as well as the emotional state and quality of life of patients receiving hospice services in the home. The results of our research provide evidence of the growing need for physiotherapy in individuals in hospice and for comprehensive assessment by means of ICF. Registered 02.12.2009 in the Research Registry (https://www.researchregistry.com/why-register) under the number research registry 5264. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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