The psychological impact of a nurse-led proactive self-care program on independent, non-frail community-dwelling older adults: A randomized controlled trial

Wong, Arkers Kwan Ching; Wong, Frances Kam Yuet

doi:10.1016/j.ijnurstu.2020.103724

Cited by 13 publications

(12 citation statements)

References 35 publications

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“…HrQoL, both physical and mental health status, has increased due to nurse-led programs. The results of the review are in line with other studies where the physical aspects had significantly improved, resulting in a decrease in patients undergoing hospitalization or visits to emergency services [20], the occurrence of psychosocial improvement [24], and improving depression symptoms in older adults and early-stage cancer patients [26], [27]. Skill practice obtained in nurse-led intervention can help manage anxiety and fear [28].…”

Section: Discussionsupporting

confidence: 80%

Effect of Nurse-Led Program in Coronary Heart Diseases Patients: A Systematic Review

Afik

Nursalam

Sufyanti

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: Coronary Heart Diseases (CHD) is one of the leading causes of death worldwide. Proper management for CHD patients is needed to reduce mortality. Nurses have a very important role in making CHD patients can carry out optimal health behaviors. AIM: This review study aims to identify the effect of the nurse-led program on CHD patients. METHODS: This systematic review was based on four electronic databases (Scopus, Science Direct, ProQuest, SAGE Journals) and published between 2011 and 2020. This review used the Joanna Briggs Institute and Prisma guidelines. The study’s eligibility was assessed from the title, abstract, research methodology, and full text. The review results were presented in tabulated data and narrative form. RESULTS: Nine articles showed that the nurse-led program significantly improved health behavior, health-related quality of life, clinical outcome, and illness perception in CHD patients. CONCLUSIONS: It is expected that the improvement of management in CHD patients will improve patients’ quality of life. Hence, it could reduce the number of morbidities and mortality.

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Section: Discussionsupporting

confidence: 80%

Effect of Nurse-Led Program in Coronary Heart Diseases Patients: A Systematic Review

Afik

Nursalam

Sufyanti

et al. 2022

Open Access Maced J Med Sci

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“…The studies did not consider or measure the impacts of socialization in individuals participating in the interventions. However, psychosocial components make an impact on physical energy and self-care motivation, which is particularly crucial for frail older adults who live alone [15]. Prefrail or frail older adults generally have low levels of social involvement, increasing their frailty [29,30].…”

Section: Discussionmentioning

confidence: 99%

“…Since frailty is affected by multiple factors, it is highly appropriate to apply multidimensional interventions, targeting multiple contributing factors, than to address individual aspects. Several randomized controlled trials of such multidimensional interventions have reported beneficial effects on physical function, nutritional status, and depression among community-dwelling older people [14][15][16]. Physical exercise programs, which are the basis of most interventions targeting frailty, have been shown to confer consistent favorable effects on physical function and muscle strength.…”

Section: Introductionmentioning

confidence: 99%

Effects of a nurse-led multicomponent intervention for frail older adults living alone in a community: a quasi-experimental study

Song

Boo

2022

BMC Nurs

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Background Given the rapid aging of the population in Korea, efforts to slow down or prevent frailty, to support the health of older adults, should be an important public health priority. This may allow them to continue living within the community by keeping their functional independence for as long as possible. This study aimed to evaluate the nurse-led multicomponent intervention for community-dwelling pre-frail or frail elderly on physical and psychosocial outcomes. Method A non-equivalent control pre-, post-, and follow-up test design was used with a sample of 126 prefrail or frail older adults (62 in the experimental and 64 in the control group). The 12-week multicomponent intervention for the experimental group comprised physical exercise, cognitive training, and nutrition and disease management education. Outcome variables (Timed Up and Go Test results and measures of frailty, handgrip strength, depression, social activity, and social support) were measured both pre- and post-intervention, and after the 12-week follow-up period. Results For each group, we assessed the significant interaction of time with frailty, depression, social activity, and social support, as well as Timed Up and Go Test results. In the experimental group, levels of depression decreased while levels of social support and social activity increased from each measurement period to the next, within the 12-month study period; those in the control group were relatively stable over time. Conclusions The results indicate that nurse-led multicomponent intervention was effective for improving physical and psychosocial function of the (pre)frail older adults living alone in Korea, suggesting that older adults can take proactive roles in conducting their daily life and managing their health. A strategy for disseminating widely sustainable nurse-led multicomponent interventions should be developed for community-dwelling frail elderly who live alone.

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“…In order to improve the psychological health of older adults, previous studies suggested that it is critical to have support from interdisciplinary health and social care professionals including nurses, social workers, and general practitioners ( 19 – 21 ). Commonly appointed as case managers and health educators, nurses are able to provide individualized comprehensive health assessments and care, assist with self-care activities, and offer basic counseling, such as general guidance and interpersonal communication.…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of an mHealth application with nursing interaction to promote quality of life among community-dwelling older adults

Wong

Bayuo

et al. 2022

Front. Psychiatry

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SignificanceUsing mHealth apps alone at home without the support of healthcare experts could mean that older adults might not fully utilize the functions of the apps, recognize their benefits, and sustain their use. Incorporating an integrated health-social partnership model to support the app usage when further help is needed by the older adults might maximize the apps' benefits in the long term.ObjectivesThis study aimed to examine the benefits of adding nursing interaction supported by a health-social partnership model in the use of mHealth, and the sustained beneficial effects on psychological outcomes, including quality of life, self-efficacy, and depression, among older adults after the completion of the program.MethodsA three-arm, randomized controlled trial design was adopted. Community-dwelling older adults with chronic pain, hypertension, or diabetes, were randomly assigned to either the mHealth, mHealth with interactivity, or control group. Subjects in both the mHealth and the mHealth with interactivity groups received the mHealth application. In addition, the mHealth with interactivity group received support from a nurse case manager, who was supported by a health-social partnership team. mHealth apps and services from a nurse case manager were not provided to the control group. The primary outcome measure was quality of life, and secondary outcomes were self-efficacy and depression. Data were collected at pre-intervention (T1), post-intervention (T2), and at 3 months post-intervention to measure the sustained effect of the program.ResultsThere were 74 mHealth+I, 71 mHealth, and 76 control group subjects enrolled in the program. No statistically significant between-group, within-group, and interaction effects between group and time in both physical component summary (PCS) and mental component summary (MCS) scores were found among the three groups. The mHealth group showed an improvement in PCS and depression scores from T1 to T2, sustained at T3; while the mHealth+I group demonstrated improved self-efficacy from T1 to T2, with a decrease at T3.ConclusionAdding nurse-directed telephone calls may be of little to no benefit at all in the long term. Future studies may consider a longer intervention period to build and sustain quality of life and self-efficacy levels among community-dwelling older adults.Clinical trial registrationwww.ClinicalTrials.gov, identifier: NCT03878212.

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The psychological impact of a nurse-led proactive self-care program on independent, non-frail community-dwelling older adults: A randomized controlled trial

Cited by 13 publications

References 35 publications

Effect of Nurse-Led Program in Coronary Heart Diseases Patients: A Systematic Review

Effect of Nurse-Led Program in Coronary Heart Diseases Patients: A Systematic Review

Effects of a nurse-led multicomponent intervention for frail older adults living alone in a community: a quasi-experimental study

A randomized controlled trial of an mHealth application with nursing interaction to promote quality of life among community-dwelling older adults

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