RESUMO
OBJECTIVE: To evaluate the effectiveness of the "Care of the Elderly" program developed by primary care teams in improving the quality of life of frail elderly individuals with a diagnosis of chronic obstructive pulmonary disease (COPD) living in Sabadell (Spain) compared with that of patients receiving routine care. METHOD: A quasi-experimental study with an experimental and a control group was performed in the nursing consultation service of 6 randomly selected primary care centers in Sabadell. The variables studied were quality of life measured by the EuroQuol (EQ-5D), the impact of COPD on health status measured by the St. George's respiratory questionnaire (SGRQ), the number of visits to the center and the emergency department, and hospital admissions. The study was performed over a 2-year period. RESULTS: The mean age of the 203 patients studied was 74.94 years (standard deviation [SD] = 6.11). The intervention was not effective in improving quality of life as measured by the EQ-5D, or in reducing the impact of COPD on health status measured by the SGRQ, or the number of visits to the center and hospital admissions. A statistically significant impact was found on the number of visits to the emergency department (p = 0.03). CONCLUSIONS: The "Care of the Elderly" program in frail elderly individuals with COPD was not effective. The present study is of use in identifying aspects that are ineffective so that nurses designing future programs and studies can include new aspects such as treatment adherence, smoking cessation, and patient satisfaction.
Assuntos
Idoso Fragilizado , Avaliação de Programas e Projetos de Saúde , Doença Pulmonar Obstrutiva Crônica/terapia , Idoso , Humanos , Atenção Primária à Saúde , EspanhaRESUMO
Objetivo. Conocer la efectividad del programa "Atenció a la Gent Gran", desarrollado por los equipos de atención primaria, en la calidad de vida de la población de mayores de 65 años frágiles diagnosticados de enfermedad pulmonar obstructiva crónica (EPOC) y residentes en Sabadell, frente a la de los pacientes con atención habitual. Método. Estudio cuasi experimental con grupo experimental y grupo control realizado en las consultas de enfermería de 6 centros de atención primaria de Sabadell elegidos de forma aleatoria. Las variables de estudio fueron el índice de calidad de vida medido con el cuestionario euroqol 5D (EQ-5D), el impacto de la EPOC sobre el estado de salud medido con el cuestionario respiratorio St. George (SGRQ), el número de visitas al centro y a urgencias, y los ingresos hospitalarios. El estudio tuvo una duración de 2 años. Resultados. La edad media de los 203 pacientes estudiados fue de 74,94 años (desviación estándar [DE] = 6,11). La intervención no se mostró efectiva al valorar la calidad de vida medida con el EQ 5-D, el impacto de la EPOC sobre el estado de salud medido a partir del SGRQ, el número de visitas al centro e ingresos hospitalarios. Tuvo impacto estadísticamente significativo sobre el número de visitas a urgencias (p = 0,03) Conclusiones. El programa "Atenció a la Gent Grant" en personas frágiles diagnosticadas de EPOC no ha sido efectivo. Esta revisión debe servir a las enfermeras para diseñar programas y estudios que tengan en cuenta los aspectos en los que no se ha demostrado efectivo y que contemplen nuevos aspectos como la adherencia al tratamiento, dejar de fumar y la satisfacción de los pacientes
Objective. To evaluate the effectiveness of the "Care of the Elderly" program developed by primary care teams in improving the quality of life of frail elderly individuals with a diagnosis of chronic obstructive pulmonary disease (COPD) living in Sabadell (Spain) compared with that of patients receiving routine care. Method. A quasi-experimental study with an experimental and a control group was performed in the nursing consultation service of 6 randomly selected primary care centers in Sabadell. The variables studied were quality of life measured by the EuroQuol (EQ-5D), the impact of COPD on health status measured by the St. George's respiratory questionnaire (SGRQ), the number of visits to the center and the emergency department, and hospital admissions. The study was performed over a 2-year period. Results. The mean age of the 203 patients studied was 74.94 years (standard deviation [SD] = 6.11). The intervention was not effective in improving quality of life as measured by the EQ-5D, or in reducing the impact of COPD on health status measured by the SGRQ, or the number of visits to the center and hospital admissions. A statistically significant impact was found on the number of visits to the emergency department (p = 0.03). Conclusions. The "Care of the Elderly" program in frail elderly individuals with COPD was not effective. The present study is of use in identifying aspects that are ineffective so that nurses designing future programs and studies can include new aspects such as treatment adherence, smoking cessation, and patient satisfaction
