2.50
Hdl Handle:
http://hdl.handle.net/10755/160108
Type:
Presentation
Title:
Predicting Change in Physical Function in the Elderly using the MDS
Abstract:
Predicting Change in Physical Function in the Elderly using the MDS
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2005
Author:Lee, Jia, PhD, RN
P.I. Institution Name:University of Missouri-Columbia
Title:Assistant Professor
Contact Address:School of Nursing, S428 MU Sinclair School of Nursing, Columbia, MO, 65211, USA
Contact Telephone:573-884-1693
Co-Authors:Patricia A. Higgins, PhD, RN, Assistant Professor
Purpose: This study investigated predictors of change in physical
function in elderly patients admitted to a sub-acute nursing facility
following lower extremity surgery.
Design and Methods: A predictive middle-range model was developed that
used ten factors as potential predictors: nine factors from the Minimum
Data Set (MDS) and the amount (total time) of rehabilitation therapy. This
study used retrospective chart abstraction to investigate the model.
Results: Data were collected from the medical records of 131 subjects,
mean age=77.1 years (SD=6.9) who were admitted to a sub-acute
rehabilitation facility from January 2000 to December 2002. The mean
length of stay was 18.7 days (SD=6.9). Controlling for age and
co-morbidity, hierarchical multiple regression analyses found that
Activities of Daily Living (ADL) on admission, history of falls, weight
change, memory loss, and depressive mood were predictive of physical
function at discharge (R2=.49, p < .001, post-hoc power=99%), with ADL
function on admission the most significant predictor (b=.43, p < .001).
Rehabilitation therapy significantly improved ADL functioning although
patients experiencing urinary incontinence or weight change were at
greater risk of functional decline (R2=.10, p=.02, post-hoc power=61%).
Implications: For nurses who practice in a sub-acute setting, these
results provide additional support for the influence of admission factors
on the patient's physical functioning in rehabilitation therapy. The study
demonstrated the predictive capacity of the MDS factors for physical
function in a sub-acute unit.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePredicting Change in Physical Function in the Elderly using the MDSen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160108-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Predicting Change in Physical Function in the Elderly using the MDS</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lee, Jia, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Missouri-Columbia</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, S428 MU Sinclair School of Nursing, Columbia, MO, 65211, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">573-884-1693</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">leejia@missouri.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Patricia A. Higgins, PhD, RN, Assistant Professor</td></tr><tr><td colspan="2" class="item-abstract">Purpose: This study investigated predictors of change in physical <br/> function in elderly patients admitted to a sub-acute nursing facility <br/> following lower extremity surgery. <br/> Design and Methods: A predictive middle-range model was developed that <br/> used ten factors as potential predictors: nine factors from the Minimum <br/> Data Set (MDS) and the amount (total time) of rehabilitation therapy. This <br/> study used retrospective chart abstraction to investigate the model. <br/> Results: Data were collected from the medical records of 131 subjects, <br/> mean age=77.1 years (SD=6.9) who were admitted to a sub-acute <br/> rehabilitation facility from January 2000 to December 2002. The mean <br/> length of stay was 18.7 days (SD=6.9). Controlling for age and <br/> co-morbidity, hierarchical multiple regression analyses found that <br/> Activities of Daily Living (ADL) on admission, history of falls, weight <br/> change, memory loss, and depressive mood were predictive of physical <br/> function at discharge (R2=.49, p &lt; .001, post-hoc power=99%), with ADL <br/> function on admission the most significant predictor (b=.43, p &lt; .001). <br/> Rehabilitation therapy significantly improved ADL functioning although <br/> patients experiencing urinary incontinence or weight change were at <br/> greater risk of functional decline (R2=.10, p=.02, post-hoc power=61%). <br/> Implications: For nurses who practice in a sub-acute setting, these <br/> results provide additional support for the influence of admission factors <br/> on the patient's physical functioning in rehabilitation therapy. The study <br/> demonstrated the predictive capacity of the MDS factors for physical <br/> function in a sub-acute unit.</td></tr></table>en_GB
dc.date.available2011-10-26T22:38:01Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:38:01Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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