Publication: Consequences of the Covid-19 pandemic on complex multimorbid elderly: Follow-up of a community-based cohort. SAMAC3 Study
Authors
Ruzafa Martinez, Maria ; García González, Jessica ; Morales Asencio, José Miguel ; Leal Costa, Cesar ; Hernández Méndez, Solanger ; Albarracín Olmedo, Juana ; Ramos Morcillo, Antonio Jesús
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Publisher
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DOI
https://doi.org/10.1111/jnu.12860
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info:eu-repo/semantics/article
Description
©2023. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
This document is the Accepted version of a Published Work that appeared in final form in Journal of Nursing Scholarship. To access the final edited and published work see https://doi.org/10.1111/jnu.12860
Abstract
Background: The restrictions imposed during the management of the pandemic led to
lack of care of other health problems.
Purpose: To assess changes in the health status of complex multimorbidity elderly,
functional and cognitive capacities, perception of the social surroundings, care pro vided by the nurses, including nursing diagnosis and interventions, use of health ser vices, adverse events, and use of devices and technical help during the first 6 months
of the Covid-19 pandemic.
Design: A 1-year longitudinal cohort study was conducted.
Methods: Ninety-seven complex multimorbid elderly attended in primary care were
evaluated every 3 months in a health area of the Spanish National Health System
(SNHS). The research was called “SAMAC3 study”.
Results: Significant negative changes were observed in the functional and cognitive ca pacity of the elderly, and in several nursing diagnoses. A decrease was observed in the
frequency of visit to the nurses, hospital admittance, length of hospital stays, and falls.
Conclusions: The functional and cognitive capacities of the cohort became worse.
However, a significant decrease in the frequency of use of health services was ob served. The nurses detected significant changes in activity-exercise, cognitive perception, and roles-relationships, but their interventions were mostly centered on
resolving clinical matters that required immediate attention.
Clinical Relevance: The present study allowed us to observe that a situation of social
and health stress has worsened the health indicators of multimorbid elderly, and the clinical care of community nurses was insufficient to providing care for the deteriora tion of the physical and cognitive domains.
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Citation
Journal of Nursing Scholarship, 2023;55:792–804.
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