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The "Wholesome Contact" non-pharmacological, volunteer-delivered multidisciplinary programme to prevent hospital delirium in elderly patients : study protocol for a randomised controlled trial

The "Wholesome Contact" non-pharmacological, ...

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dc.contributor.author Piotrowicz, Karolina [SAP20010929] pl
dc.contributor.author Rewiuk, Krzysztof [SAP20002425] pl
dc.contributor.author Górski, Stanisław [SAP20013892] pl
dc.contributor.author Kałwak, Weronika [SAP14010969] pl
dc.contributor.author Wizner, Barbara [SAP20001897] pl
dc.contributor.author Pac, Agnieszka [SAP20002169] pl
dc.contributor.author Nowakowski, Michał [SAP20002085] pl
dc.contributor.author Grodzicki, Tomasz [SAP20000885] pl
dc.date.accessioned 2019-03-29T08:41:46Z
dc.date.available 2019-03-29T08:41:46Z
dc.date.issued 2018 pl
dc.identifier.issn 1745-6215 pl
dc.identifier.uri https://ruj.uj.edu.pl/xmlui/handle/item/71785
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa *
dc.rights.uri http://creativecommons.org/licenses/by/4.0/pl/legalcode *
dc.title The "Wholesome Contact" non-pharmacological, volunteer-delivered multidisciplinary programme to prevent hospital delirium in elderly patients : study protocol for a randomised controlled trial pl
dc.type JournalArticle pl
dc.identifier.weblink https://trialsjournal.biomedcentral.com/track/pdf/10.1186/s13063-018-2781-6 pl
dc.abstract.en Background: In hospital settings, delirium affects as many as 50% of older patients, aggravating their symptoms and worsening their condition, and therefore increasing the risk of in-hospital complications and death. The aim of this study is to assess the efficacy of structured, non-pharmacological care, delivered to older hospitalised patients by trained volunteers (students of medical fields), on the reduction of incidence of adverse health-related outcomes. Methods/design: This trial will be a randomised, investigator-blind, controlled trial conducted in an internal medicine and geriatric ward in Poland. We aim to include 416 patients who are 70 years of age and have been hospitalised for medical reasons. Eligible patients will be randomised 1:1 to receive structured, non-pharmacological care delivered by students of medicine, psychology and nursing, together with standard medical treatment or standard medical care alone. The protocol of interventions has been designed to cover nine main risk factors for delirium, with the scope of multidisciplinary interventions being individualised and tailored. The protocol will be aimed at immobilisation, vision and hearing impairment, cognitive impairment and disorientation, stress and anxiety, sleep–wake cycle disturbances, dehydration and malnutrition, and pain. A structured evaluation of patients’ cognition, mood, anxiety and functional performance is planned to be carried out twice, on the day of group allocation and at discharge; structured screening assessment for delirium will be conducted daily using the Confusion Assessment Method. The primary outcome will be the incidence of delirium in hospital; secondary outcomes will be in-hospital changes in cognition, mood and anxiety, and functional status, occurrence of falls and death. Discussion: Delirium prevention programmes are being introduced worldwide. A particular novelty of our project, however, is that invitations for voluntary work with older patients at risk for delirium will be addressed to medical students. With the use of the service learning method, the students will shape their attitudes, increase their knowledge and understanding of hospital care, and master competencies to work within interdisciplinary teams, which establishes the originality and practicality of the project. pl
dc.subject.en confusion pl
dc.subject.en cognitive impairment pl
dc.subject.en interdisciplinary approach pl
dc.subject.en student pl
dc.subject.en psychology students pl
dc.subject.en nursing students pl
dc.subject.en volunteering pl
dc.subject.en service learning pl
dc.description.volume 19 pl
dc.identifier.doi 10.1186/s13063-018-2781-6 pl
dc.title.journal Trials pl
dc.language.container eng pl
dc.date.accession 2019-03-27 pl
dc.affiliation Wydział Lekarski : Klinika Chorób Wewnętrznych i Geriatrii pl
dc.affiliation Wydział Lekarski : Klinika Chirurgii Ogólnej, Obrażeń Wielonarządowych i Medycyny Ratunkowej pl
dc.affiliation Wydział Lekarski : Zakład Epidemiologii pl
dc.affiliation Wydział Filozoficzny : Instytut Psychologii pl
dc.affiliation Wydział Lekarski : Zakład Dydaktyki Medycznej pl
dc.subtype Article pl
dc.identifier.articleid 439 pl
dc.rights.original CC-BY; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0 pl
dc.identifier.project ROD UJ / OP pl
.pointsMNiSW [2018 A]: 25

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Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa