The Care Dependency Scale for measuring basic human needs: an international comparison

Dijkstra, Ate; Yönt, Gülendam Hakverdioğlu; Korhan, Esra Akın; Muszalik, Marta; Kędziora–Kornatowska, Kornelia; Suzuki, Mizue

doi:10.1111/j.1365-2648.2011.05939.x

Cited by 46 publications

(37 citation statements)

References 22 publications

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“…Our study participants represent a vulnerable population; with a median age of 84 years and a high dependency on nursing care (median CDS score of 44 points). This median baseline CDS score is comparable with that of other studies in nursing homes [11,28]. Because a recent international comparison of the CDS demonstrated its usefulness for comparative research across countries [28], the results of the present study might be generalizable to LTCFs worldwide.…”

Section: Discussionsupporting

confidence: 84%

Natural course of care dependency in residents of long-term care facilities: prospective follow-up study

2014

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BackgroundInsight in the natural course of care dependency of vulnerable older persons in long-term care facilities (LTCF) is essential to organize and optimize individual tailored care. We examined changes in care dependency in LTCF residents over two 6-month periods, explored the possible predictive factors of change and the effect of care dependency on mortality.MethodsA prospective follow-up study in 21 Dutch long-term care facilities. 890 LTCF residents, median age 84 (Interquartile range 79–88) years participated. At baseline, 6 and 12 months, care dependency was assessed by the nursing staff with the Care Dependency Scale (CDS), range 15–75 points. Since the median CDS score differed between men and women (47.5 vs. 43.0, P = 0.013), CDS groups (low, middle and high) were based on gender-specific 33% of CDS scores at baseline and 6 months.ResultsAt baseline, the CDS groups differed in median length of stay on the ward, urine incontinence and dementia (all P < 0.001); participants in the low CDS group stayed longer, had more frequent urine incontinence and more dementia. They had also the highest mortality rate (log rank 32.2; df = 2; P for trend <0.001). Per point lower in CDS score, the mortality risk increased with 2% (95% CI 1%-3%). Adjustment for age, gender, cranberry use, LTCF, length of stay, comorbidity and dementia showed similar results. A one point decrease in CDS score between 0 and 6 months was related to an increased mortality risk of 4% (95% CI 3%-6%).At the 6-month follow-up, 10% improved to a higher CDS group, 65% were in the same, and 25% had deteriorated to a lower CDS group; a similar pattern emerged at 12-month follow-up. Gender, age, urine incontinence, dementia, cancer and baseline care dependency status, predicted an increase in care dependency over time.ConclusionThe majority of residents were stable in their care dependency status over two subsequent 6-month periods. Highly care dependent residents showed an increased mortality risk. Awareness of the natural course of care dependency is essential to residents and their formal and informal caregivers when considering therapeutic and end-of-life care options.

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Section: Discussionsupporting

confidence: 84%

Natural course of care dependency in residents of long-term care facilities: prospective follow-up study

2014

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“…En cuanto a la causa de IRCT, estas coinciden con las más frecuentes a nivel nacional: diabetes mellitus e hipertensión arterial 1,26,27 . Los pacientes de este estudio tienen un mayor grado de riesgo que de dependencia, hallazgo que no es posible contrastar con la literatura de UHD, ya que los estudios no diferencian la dependencia del riesgo, o bien solo estudian la dependencia 28,[29][30][31][32][33] . Por otra parte, los estudios que miden dependencia no evalúan a las personas durante la sesión de diálisis sino en su ambiente cotidiano 29,31,32 .…”

Section: Discussionunclassified

“…Los pacientes de este estudio tienen un mayor grado de riesgo que de dependencia, hallazgo que no es posible contrastar con la literatura de UHD, ya que los estudios no diferencian la dependencia del riesgo, o bien solo estudian la dependencia 28,[29][30][31][32][33] . Por otra parte, los estudios que miden dependencia no evalúan a las personas durante la sesión de diálisis sino en su ambiente cotidiano 29,31,32 . La carga de trabajo de la enfermera en las UHD se distribuyó en 60% cuidados directos y 40% de cuidados indirectos, similar al estudio realizado por Rauhala y Fargestrom (2007) en un hospital general de Finlandia donde la enfermera dedicaba 76% al cuidado directo y 24% al cuidado indirecto 8 ; y al de Meza-Galván (2009) en un servicio de medicina donde la mayoría de la jornada la ocupaba en el cuidado directo 34 .…”

Section: Discussionunclassified

Carga laboral de las enfermeras en Unidades de Hemodiálisis Crónica según dependencia y riesgo de los pacientes

et al. 2017

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“…Development and psychometric testing of the CDS have been described in several studies (Dijkstra et al 1996(Dijkstra et al , 1998a(Dijkstra et al , 1998b(Dijkstra et al , 1999(Dijkstra et al , 2000b. Besides these studies, the international psychometric properties of the CDS were determined using data sets from Canada, Italy, Norway and The Netherlands (Dijkstra et al 2000a), Finland, Spain and the United Kingdom (Dijkstra et al 2003), Germany (Lohrmann et al 2003), Japan (Suzuki et al 2010), Poland (Dijkstra et al 2010), and Turkey (Hakverdioğlu-Yönt et al 2010;Dijkstra et al 2012). The outcomes confirm that the CDS proved to be a reliable and valid scale in terms of internal consistency, inter-item correlation and principal component analysis.…”

Section: Methodsmentioning

confidence: 99%

Health Related Quality of Life and Care Dependency among Elderly Hospital Patients: An International Comparison

Dijkstra

Hakverdioğlu

Muszalik

et al. 2015

Tohoku J. Exp. Med.

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Many countries in Europe and the world have to cope with an aging population. Although health policy in many countries aims at increasing disability-free life expectancy, elderly patients represent a significant proportion of all patients admitted to different hospital departments. The aim of the research was to investigate the relationship between health-related quality of life (HRQOL) and the care dependency status among elderly hospital patients. In 2012, a descriptive survey was administered to a convenience sample of 325 elderly hospital patients (> 60 years) from The Netherlands (N = 125), from Poland (N = 100), and from Turkey (N = 100). We employed the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System and the Care Dependency Scale. FACIT is a collection of HRQOL questionnaires that assess multidimensional health status in people with various chronic illnesses. From demographic variables, gender (female) (r = −0.13, p < 0.05), age and informal care given by family members (r = −0.27 to 0.27, p < 0.01) were significantly correlated with the care dependency status for the whole samples. All HRQOL variables, hearing aid and duration of illness correlated with care dependency status (r = −0.20 to 0.50, p < 0.01). Moreover, the FACIT sum score (Poland and Turkey) and functional wellbeing (The Netherlands) are significantly associated with the decrease in care dependency status. Thus, the FACIT variables are the most powerful indicators for care dependency. The study provides healthcare professionals insight into improvement of quality of care in all three countries.

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The Care Dependency Scale for measuring basic human needs: an international comparison

Cited by 46 publications

References 22 publications

Natural course of care dependency in residents of long-term care facilities: prospective follow-up study

Natural course of care dependency in residents of long-term care facilities: prospective follow-up study

Carga laboral de las enfermeras en Unidades de Hemodiálisis Crónica según dependencia y riesgo de los pacientes

Health Related Quality of Life and Care Dependency among Elderly Hospital Patients: An International Comparison

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