Managing Pain and Psychosis Symptoms in Nursing Home Patients: Results from a Cluster-Randomized Controlled Trial (COSMOS)
| Autor: | Janne Mannseth, Elisabeth Flo-Groeneboom, Wilco P. Achterberg, Bettina S. Husebo, Torstein Frugård Habiger |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Psychosis Analgesic Pain law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Pain assessment Intervention (counseling) medicine Humans Dementia 030212 general & internal medicine General Nursing business.industry Health Policy General Medicine Pain scale Odds ratio medicine.disease Nursing Homes Psychotic Disorders Quality of Life Physical therapy Geriatrics and Gerontology business 030217 neurology & neurosurgery |
| Zdroj: | Journal of the American Medical Directors Association |
| ISSN: | 1525-8610 |
| Popis: | Objectives In nursing homes (NHs), 30% to 60% of patients experience daily pain and >80% have dementia. This can lead to neuropsychiatric symptoms, including psychosis symptoms such as delusion. We investigated if there was a relationship between pain and psychosis symptoms over time. We also aimed to investigate the effect of a multicomponent intervention (COSMOS) on pain, psychosis symptoms, and analgesic prescription. Design COSMOS is a cluster-randomized, single blinded, controlled trial. Each NH unit was defined as a cluster and randomized to either the COSMOS intervention or care as usual. The COSMOS intervention is a multicomponent intervention, consisting of staff training in communication, pain treatment, medication review, organization of activities, and safety. The intervention lasted for 4 months with a follow-up at month 9. Setting and Participants Sixty-seven units from 33 Norwegian NHs in 8 municipalities. The study included 723 patients aged ≥65 years, residing at the NH ≥2 weeks before inclusion. Patients with a life expectancy |
| Databáze: | OpenAIRE |
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