Effect of interprofessional collaboration on quality of life in elderly patients with cardiovascular disease
| Autor: | Debra Stern, Stacey Maravent, Jane Clare Miller, Genevieve M Hale, Kelly Scott, Sarah Alameddine, Alexandra Perez, Alejandro Nieves Santiago, Tina Joseph, Martha M. Rodriguez, Kimmi Stultz |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
business.industry Chronic care management Disease 030204 cardiovascular system & hematology Education Post-intervention 03 medical and health sciences 0302 clinical medicine Quality of life Scale (social sciences) Accountable care Intervention (counseling) Physical therapy medicine 030212 general & internal medicine business Social functioning |
| Zdroj: | Journal of Interprofessional Education & Practice. 12:25-28 |
| ISSN: | 2405-4526 |
| Popis: | Background Elderly patients with cardiovascular disease (CVD) have significant limitations in relation to self-management and quality of life (QOL). Interprofessional collaboration has the potential to produce better outcomes for elderly patients living with CVD. Methods The primary objective of this pilot pre-/post intervention study was to improve the QOL for elderly patients with CVD through the development of an interprofessional collaborative intervention in the primary care setting. The intervention consisted of one health fair and two subsequent chronic care management (CCM) meetings focused on self-management of CVD at two participating accountable care organization (ACO) primary care clinics. A pre- and post-survey was administered to patients that consisted of the Short Form (SF)-36 Health Survey and the Activities-Specific Balance Confidence (ABC) Scale. Medication adherence at baseline and after intervention was also assessed. Patients eligible for study inclusion included individuals 65 years or older, referred to CCM services by his/her ACO primary care provider. Results 28 participants were recruited. Of these, 15 patients (53%) were included in the final analysis. Compared to baseline, the limitations due to physical health (p = 0.043) and social functioning (p = 0.035) domains of the SF-36 health survey improved after the intervention while all other domains remained stable. No statistically significant difference was found between pre- and post-intervention on the ABC scale (p = 0.205) and medication adherence. Conclusions Through interprofessional intervention, this pilot study demonstrated that elderly patients were able to improve in social functioning and limitations to physical activity, benefiting their overall QOL. |
| Databáze: | OpenAIRE |
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