Analysis of home-based rehabilitation in patients with motor impairment in primary care: a prospective observational study

BMC Geriatrics

Research Article

Francisco Antonio Vega-Ramírez¹  Genoveva Granados-Gámez²  Remedios López-Liria³  Jose Manuel Aguilar-Parra⁴  David Padilla-Góngora⁴ 

[1] Complejo Hospitalario Torrecárdenas. Servicio Andaluz de Salud, Carretera del Sacramento s/n. La Cañada de San Urbano, 04250, Almería, Spain;Department of Nursing, Physiotherapy and Medicine University of Almería, Carretera del Sacramento s/n. La Cañada de San Urbano, 04250, Almería, Spain;Department of Nursing, Physiotherapy and Medicine, CERNEP. University of Almería, Carretera del Sacramento s/n. La Cañada de San Urbano, 04250, Almería, Spain;Department of Psychology, University of Almería, Carretera del Sacramento s/n. La Cañada de San Urbano, 04250, Almería, Spain;

关键词: Primary health care;    Geriatrics;    Multimorbidity;    Physiotherapy;    Home care;    Home based rehabilitation;   

DOI  :  10.1186/s12877-017-0526-0

 received in 2016-08-29, accepted in 2017-06-27,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe purpose of health and social policies is to encourage older people more longevity, remain free of disability and experience quality of life while living in their homes.The aim of this study was to describe the characteristics of 473 patients diagnosed with motor impairment in primary care, the objectives of home-based rehabilitation and its functional impact.MethodsThis prospective observational study was conducted in the Almería Health District. The analysed variables included age, gender, secondary diagnosis, Barthel Index (BI), physiotherapeutic objectives and techniques, and number of sessions.ResultsThe sample had a mean age of 83 years, and 59% were women. The assessed conditions with a high prevalence included osteoarticular pathology (55%), Alzheimer’s disease (15.1%), cardiovascular disease (13.7%) and stroke (6.5%). The techniques applied mainly consisted of functional exercises (57.1%), caregiver education (13.8%), and technical assistance (5.7%). There were statistically significant differences (t = −15.79; p < 0.001) between initial (X = 34.8) and final BI (X = 48.1), with an improvement of 13.4 points in patients’ functional capacity (95% confidence interval [CI]: −15.0 to −11.7). An equation was constructed to predict patients’ final BI as a function of the initial BI using a multiple linear regression model. The regression model explained 78% of the variance in patients with motor impairment.ConclusionsImportant improvements were obtained in terms of functional capacity with a mean of ten sessions of physiotherapy. Lower patient age was correlated with higher initial and final functional capacities in primary care. This study aimed to present a useful starting point for decision making among management and health administration regarding this population group by approaching the process from the reality of practice and in relation to the rehabilitation provided.Trial registrationClinicalTrials.gov identifier: NCT02715245; Date of registration: 18 January 2016.

【 授权许可】

CC BY   
© The Author(s). 2017

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