Original Article
COVID-19
Tintu Tom; Sonymol K
Abstract
Background: The Coronavirus Disease-2019 manifested as a serious infectious disease that affected people of all ages and genders, particularly older patients with comorbidities. Patients who have recovered from COVID have serious restrictions. Aims: The purpose of this study was to determine the ...
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Background: The Coronavirus Disease-2019 manifested as a serious infectious disease that affected people of all ages and genders, particularly older patients with comorbidities. Patients who have recovered from COVID have serious restrictions. Aims: The purpose of this study was to determine the prevalence of post-COVID-19 functional status (PCFS) in patients and the relationship between post-COVID-19 functional status and selected demographic characteristics.Methods: This study employed a descriptive survey research design and a quantitative, non-experimental research approach. Data were obtained from 190 COVID-19 recovered patients admitted to an Indian quaternary hospital who met the inclusion criteria utilizing an online survey approach and a mobile app. Prior to the study, the institutional scientific and ethical committees approved it. The study's findings were analyzed using descriptive statistics and chi-square.Results: The percentage of demographic data is identified, and the post COVID functional limitation of samples shows that 58 percent have negligible functional limitation, 24 percent have no functional limitation, 16 percent have slight functional limitation, 1 percent have moderate functional limitation, and 1 percent have severe functional limitation. There was an association between PCFS and age, as well as PCFS and the COVID-19 group.Conclusion: Some COVID-19 survivors suffered functional difficulties after infection. The severity of the disease and its duration are important risk factors for the development of post-COVID-19 functional impairments. The study's findings assist healthcare professionals in improving their understanding of post-COPID functional status and providing appropriate care to post-COPID recovered patients.
Original Article
Patient Care
Zahra Noori; Parvaneh Khorasani; Habibollah Hosseini
Abstract
Introduction: The purpose of this study was to assess the status of diabetes management among elderly people living in Isfahan nursing homes using the Donabedian framework in three parts: structure, process, and outcome.Methods: In 2018, the current descriptive-cross-sectional approach was used in 13 ...
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Introduction: The purpose of this study was to assess the status of diabetes management among elderly people living in Isfahan nursing homes using the Donabedian framework in three parts: structure, process, and outcome.Methods: In 2018, the current descriptive-cross-sectional approach was used in 13 nursing homes in Isfahan. Data was collected using a dependable and valid research-created checklist that evaluated diabetes management through three components: organizational structure (8 dimensions and 33 items), processes (3 dimensions and 23 items), and outcomes (2 dimensions and 7 items). Data was collected by observing the equipment and human resources, interviewing key informants and nurses, reviewing documents, and collecting blood and urine samples under standard conditions.Results: Structure, process, and outcome mean scores were 34.5±2.6, 38.5±5.9, and 65.6±13.9, respectively. The highest and lowest structure scores were associated with "referral system" and "trained personnel," respectively; process scores were associated with "counseling and risk factor reduction" and "immunization," and outcome scores with "physical examination and history taking" and "documentation of laboratory results." The mean score of structure was found to have a direct relationship with process and outcome (p < 0.05). There was also a direct relationship (p <0.05) between the mean process and outcome scores. Linear regression analysis revealed that structure was a significant predictor of outcome (p = 0.01).Conclusions: The findings revealed some issues with the structure, process, and outcome of providing appropriate diabetes management care in nursing homes. To achieve positive results in this area, it is necessary to focus on the human resources, facilities, and equipment required to manage diabetes in nursing homes.
