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Open Access Effectiveness of Video-Telephone Nursing Care for the Homebound Elderly L'efficacité du vidéotéléphone dans les soins infirmiers donnés aux personnes âgées confinées à domicile

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This study had a dual purpose: to develop measures of change in functioning among the elderly, and to identify the characteristics of groups of homebound elderly whose functioning is significantly improved with video-telephone nursing care. As part of the evaluation of a home telecare program in Belgium, data from all 71 elders who received home telecare were examined in order to describe the nature of the relationship between the care/support received and health outcomes. The elders' functioning was measured using 8 assessment scales. Eleven measures of change in functioning were developed using multidimensional scaling algorithms. Use of these measures in the decision tree model made possible the identification of groups of homebound elderly who showed significant improvement following tele-nursing care in well-defined domains of functioning. The findings suggest that telecare is an alternative care model that could be integrated into existing home-care services to provide older people with integrated health services.

Le but de la présente étude était double : d'abord, concevoir un instrument de mesure du fonctionnement des personnes âgées confinées à domicile; ensuite, définir les caractéristiques des groupes chez qui les soins infirmiers par vidéo-téléphone apportent des résultats notables. Le projet s'inscrit dans le cadre de l'évaluation d'un programme de télésoins établi en Belgique. On a analysé les données recueillies auprès des 71 patients inscrits au programme pour tenter de décrire la nature du rapport entre les soins et l'aide reçus et les résultats cliniques obtenus. Onze critères de mesure du changement ont été mis au point à l'aide d'algorithmes d'analyse multidimensionnelle et appliqués au schéma décisionnel. Ils ont permis d'identifier des groupes de patients ayant démontré une amélioration notable après avoir reçu des télésoins dans des sphères de fonctionnement bien définies. Les résultats de l'étude suggèrent que les télésoins constituent un modèle alternatif pouvant être intégré aux services de soins à domicile dans l'optique d'offrir aux personnes âgées des soins holistiques.

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Document Type: Research Article

Publication date: 2007-03-01

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