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Consequences of the Covid‐19 pandemic on complex multimorbid elderly: Follow‐up of a community‐based cohort. SAMAC3 Study

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 provided by the...

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Autores principales: Ruzafa‐Martinez, Maria, García‐González, Jessica, Morales‐Asencio, José Miguel, Leal‐Costa, Cesar, Hernández‐Méndez, Solanger, Hernández‐López, María Jesús, Albarracín‐Olmedo, Juana, Ramos‐Morcillo, Antonio Jesús
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9880696/
https://www.ncbi.nlm.nih.gov/pubmed/36537349
http://dx.doi.org/10.1111/jnu.12860
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author Ruzafa‐Martinez, Maria
García‐González, Jessica
Morales‐Asencio, José Miguel
Leal‐Costa, Cesar
Hernández‐Méndez, Solanger
Hernández‐López, María Jesús
Albarracín‐Olmedo, Juana
Ramos‐Morcillo, Antonio Jesús
author_facet Ruzafa‐Martinez, Maria
García‐González, Jessica
Morales‐Asencio, José Miguel
Leal‐Costa, Cesar
Hernández‐Méndez, Solanger
Hernández‐López, María Jesús
Albarracín‐Olmedo, Juana
Ramos‐Morcillo, Antonio Jesús
author_sort Ruzafa‐Martinez, Maria
collection PubMed
description 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 provided by the nurses, including nursing diagnosis and interventions, use of health services, 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 capacity 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 observed. 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 deterioration of the physical and cognitive domains.
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spelling pubmed-98806962023-01-27 Consequences of the Covid‐19 pandemic on complex multimorbid elderly: Follow‐up of a community‐based cohort. SAMAC3 Study Ruzafa‐Martinez, Maria García‐González, Jessica Morales‐Asencio, José Miguel Leal‐Costa, Cesar Hernández‐Méndez, Solanger Hernández‐López, María Jesús Albarracín‐Olmedo, Juana Ramos‐Morcillo, Antonio Jesús J Nurs Scholarsh Profession and Society 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 provided by the nurses, including nursing diagnosis and interventions, use of health services, 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 capacity 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 observed. 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 deterioration of the physical and cognitive domains. John Wiley and Sons Inc. 2022-12-20 /pmc/articles/PMC9880696/ /pubmed/36537349 http://dx.doi.org/10.1111/jnu.12860 Text en © 2022 The Authors. Journal of Nursing Scholarship published by Wiley Periodicals LLC on behalf of Sigma Theta Tau International. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Profession and Society
Ruzafa‐Martinez, Maria
García‐González, Jessica
Morales‐Asencio, José Miguel
Leal‐Costa, Cesar
Hernández‐Méndez, Solanger
Hernández‐López, María Jesús
Albarracín‐Olmedo, Juana
Ramos‐Morcillo, Antonio Jesús
Consequences of the Covid‐19 pandemic on complex multimorbid elderly: Follow‐up of a community‐based cohort. SAMAC3 Study
title Consequences of the Covid‐19 pandemic on complex multimorbid elderly: Follow‐up of a community‐based cohort. SAMAC3 Study
title_full Consequences of the Covid‐19 pandemic on complex multimorbid elderly: Follow‐up of a community‐based cohort. SAMAC3 Study
title_fullStr Consequences of the Covid‐19 pandemic on complex multimorbid elderly: Follow‐up of a community‐based cohort. SAMAC3 Study
title_full_unstemmed Consequences of the Covid‐19 pandemic on complex multimorbid elderly: Follow‐up of a community‐based cohort. SAMAC3 Study
title_short Consequences of the Covid‐19 pandemic on complex multimorbid elderly: Follow‐up of a community‐based cohort. SAMAC3 Study
title_sort consequences of the covid‐19 pandemic on complex multimorbid elderly: follow‐up of a community‐based cohort. samac3 study
topic Profession and Society
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9880696/
https://www.ncbi.nlm.nih.gov/pubmed/36537349
http://dx.doi.org/10.1111/jnu.12860
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