Effectiveness Of Home-based Care Research Articles

The effect of home-based care on housebound patients and their caregivers in two Palestinian refugee camps in Lebanon: a qualitative study

BackgroundThe incidence of non-communicable diseases (NCDs) increases annually by approximately 5% among older (age 50 years and older) Palestinian refugees in Lebanon, of whom around 10% are housebound. Care for housebound patients does not exist in the over-medicalised and highly privatised Lebanese health system or within the health system for Palestinian refugees in Lebanon. This has led to a neglected population. In 2016, Médecins Sans Frontières (MSF) started to provide home-based care (HBC) for housebound patients in two Palestinian camps: Bourj-el-Barajneh and Ain-al-Hilweh. HBC is carried out by a team comprising a doctor, nurse, and social worker, and includes basic medical monitoring, health literacy educational sessions, support for treatment adherence, as well as networking with relevant social service providers. MethodsA qualitative study was carried out between January and October, 2018, nine patients, ten caregivers, and personnel from two main international non-governmental organisations providing health care for refugees were interviewed, and one focus group discussion was conducted with MSF HBC staff. Thematic content analysis was carried out manually, with investigators’ observations for triangulation. The study was approved by the MSF ethical review board. FindingsThe housebound patients described various ways in which they felt socially isolated, useless, and unproductive. These are underserved needs. Caregivers reported feeling burdened socially, mentally, and financially. They also reported that they assumed full responsibility for the housebound relative, as there was no alternative. HBC was appreciated by patients and caregivers for providing psychosocial and medical support; patients viewed MSF staff as a “friend in care”, a temporary escape from isolation, and caregivers expressed appreciation for sharing the burden of caring for the housebound person. There was a decrease in anxiety expressed by caregivers and patients, as well as a declining sense of burden described by caregivers, during the provision of HBC by the MSF staff. To a lesser extent, patients and caregivers sensed improved self management as their disease literacy and treatment adherence increased, and as caregivers became more efficient in handling toilet care, bathing, and wound dressing. Missing components of HBC were perceived to be “outdoor” activities and mental health services. InterpretationHBC had an effect in reducing patients’ social isolation, decreasing caregivers’ burden and anxiety, and enhancing self management of disease for both. HBC should be considered for replication by all refugee health care providers as well as by the Lebanese Ministry of Public Health. This model of care needs to adopt a more holistic approach by including provision of mental health care and by increasing the focus on social isolation. FundingNone.

Research Progress on the Home-based Healthcare Plan for the Elderly with Chronic Diseases

Objective: To develop a home-based care plan for the elderly person with chronic diseases based on the status of their home-based care needs and relevant literature. Methods: The clinical data consisted of 132 patients who were 60-year-old or older with chronic diseases from June 2019 to May 2020 were selected and categorized into control and treatment groups of 66 patients each. For the experimental group, a care team for chronically ill elderly receiving regular post-treatment home-based care. Meanwhile, a general clinical care team for chronically ill elderly receiving regular treatment for the control group. The effectiveness of these two healthcare models was evaluated and analyzed. Results: Results showed that satisfaction and effectiveness of home-based care among the elderly with chronic diseases were statistically better (P<0.05) than those in the usual care group. Conclusion: Providing home-based care services to elderly patients with chronic illnesses helps them to improve their chronic disease condition, patients are more receptive to home care, and patients have higher rates of recovery and treatment satisfaction.

Comparative study on home-based care effects of disabled centenarians

Objective To evaluate the effect of home-based care alongside with health promotion on Wechat towards disabled centenarians, to provide the basis for improving the home and community based care towards the oldest old. Methods A total of 158 indigious centenarians in Hainan were surveyed and 78 of them who were considered disabled by Barthel criteria were selected and then divided into intervention group (with health education on Wechat platform and nursing visit) and control group (with nursing care handbook) by the serial number of them. The living quality,incidence of adverse health events and positive feeling of family care givers of two group were evaluated and compared after 6 months intervention. Results After 6 months of home-care intervention, significant statistical differences in incidence of adverse health events were found between intervention group and control group, which compromise falls (2 cases vs. 13 cases, χ2= 8.91, P= 0.00), pain (1 case vs. 17 cases, χ2= 17.28, P= 0.00) and constipation (6 cases vs. 15 cases, χ2= 4.75, P= 0.03). When it came to positive feeling of care givers, the scores of intervention groupwere (33.44±3.72), (36.46±4.06) points, control groupwere (28.10±3.25), (28.15±3.15) points, significant differences were found at 3rd and 6th month′s follow-up between two groups, which t value represent 4.955 (P=0.00) and 10.142 (P=0.00), respectively. It also suggested that the differences in living quality of the elderly were statistical significant when refered to discomfortble or pain scored 1.58±0.50 and 2.37±0.63 (t=-6.154,P=0.00), and anxiety or depression scored1.73±0.64 and 2.32±0.70 (t=-3.889,P=0.00). Conclusions Health education on Wechat platform with nursing visit can enhance the effect of home-based care by improving the living quality, incidence of adverse health events of the elderly and positive feeling of family care givers. Key words: Disabled centenarians; Aged; Home care; Wechat; In-home interview

Effectiveness of Home-Based Care on the Quality of Life of People Living with AIDS in Africa

Objectives The objective of this review is to consider the best available evidence regarding the effectiveness of home-based care on the quality of life of people living with AIDS in Africa. Question The specific research question is: What is the effectiveness of home-based care as a caring strategy on the quality of life of people living with AIDS in Africa? Criteria for considering studies for this review Types of participants Children or adults living with AIDS in Africa. Types of interventions Home-based care which is defined as “any form of care given to sick people in their homes. Such care includes physical, psychosocial, palliative and spiritual activities” (WHO, 2002). Types of outcome measures Quality of life which is defined as physical (eg life expectancy, QALY’s.), psychological (depression scale, coping mechanisms) and social aspects (eg. psychosocial functioning) of life.

Effectiveness of Home-Based Care on the Quality of Life of People Living with AIDS in Africa

Effectiveness of Home-Based Care on the Quality of Life of People Living with AIDS in Africa