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Introduction: Transitional care interventions have emerged as a promising method of ensuring treatment continuity and health care coordination when patients are discharged from hospital to home. However, few studies have investigated the frequency and duration of interventions and the effects of interventions on physical function. Therefore, this study aimed to determine the efficacy of transitional care for patients with stroke. Methods: Six databases and the grey literature were searched to obtain relevant articles from October 1, 2022 to March 10, 2023. The primary outcomes studied were motor performance, walking speed, activities of daily living (ADLs) and caregiver burden following hospital‐to‐home transitional care. The quality of the studies was assessed with Cochrane risk of bias version 2. The quality and sensitivity of the evidence were assessed to ensure rigour of the findings. Meta‐analyses were performed using stata 17.0. Results: A total of 2966 patients were identified from 23 studies. Transitional care improved post‐stroke motor performance, walking speed and ADLs, and reduced caregiver burden. Conclusion: The findings suggest that provision of transitional care model implementation in patients with stroke is important because it reduces disability in stroke patients and helps to decrease caregivers' burden. Impact: The findings of the study emphasize the importance of transitional care programmes for stroke patients after they are discharged from the hospital and returned to their homes. To meet the needs of patients, all levels of health professionals including nurses should be aware of the discharge process and care plan. [ABSTRACT FROM AUTHOR]

Purpose: A stroke survivor who is discharged to home care faces many challenges during the transition from the hospital to home, including managing their care at home and engaging in rehabilitation and recovery. Case management was developed to ease the transition from hospital to home and help people with stroke cope with their care management challenges. However, the effects of case management intervention remain inconclusive. Case management was designed to direct care and may represent a novel method for reducing the burden of care. This study was designed to evaluate the effects of case management interventions on mental health outcomes, activities of daily living capacity, physical function, and social function among stroke survivors. Design Systematic review and meta‐analysis. Methods: This study included studies examining the impacts of case management interventions for stroke survivors that were published in English and identified by searching eight databases, from database inception to February 20, 2022. Standardized mean differences (SMDs) with 95% confidence intervals (CIs) were used to pool effect sizes using a random‐effects model (in Stata 16.0). The revised Cochrane risk‐of‐bias tool for randomized trials (RoB‐2) was used to assess the methodological quality of each study. Findings The inclusion criteria were satisfied by eight studies (including a total of 1119 stroke survivors). Case management had positive effects on mental health (SMD: 0.26; 95% CI: 0.07 to 0.45, p = 0.001) and activities of daily living (SMD: 0.68; 95% CI: 00.37 to 0.99, p < 0.001). However, no significant effects were observed for either physical function or social function. Conclusion: Case management appears to enhance the mental health and activities of daily living among stroke survivors. Clinical Relevance: Case management interventions hold promise as efficient, cost‐effective, and accessible strategies to positively influence care for stroke survivors. This intervention strategy could be applied to the hospital‐to‐home transition to guide care among this population. [ABSTRACT FROM AUTHOR]

Purpose: The use of technology‐assisted interventions in dementia care contributes to increased communication, reduced burden on the caregivers, improved health outcomes, and improved expense management. Technology‐assisted interventions can be provided remotely to monitor, improve, and enable home care, benefiting the health of both patients and caregivers. Despite increasing use, the effectiveness of technology‐assisted interventions for dementia care remains uncertain, with studies reporting inconclusive findings subject to interpretation. Therefore, the current study investigated the available evidence to explore the efficacy of technology‐assisted interventions for people with dementia. Design Systematic review and meta‐analysis. Methods: The study was preregistered with the PROSPERO international prospective register of systematic reviews using a Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA)‐guided protocol. The primary search was conducted in eight databases from database inception to January 29, 2022. Using a random‐effects model, the standardized mean differences (SMDs) with 95% confidence intervals (CIs) were synthesized to obtain pooled effect sizes (using Stata 16.0). The updated Cochrane Risk of Bias 2 tool (RoB‐2) was used to evaluate the methodological quality of the studies. Findings A pooled analysis of 12 trials, including 584 people with dementia, showed more improvement associated with technology‐assisted interventions compared with standard care, including in the domains of cognitive function (SMD = 0.39; 95% CI: 0.14 to 0.64; p < 0.001) and depression (SMD = −0.75; 95% CI: −1.33 to −0.17; p = 0.01). However, no significant effects were observed for activities of daily living (ADL) or quality of life. Conclusion: Technology‐assisted interventions appear to improve cognitive function and reduce depression in people with dementia compared with standard care. Clinical relevance: This study may be used to demonstrate that interventions incorporating many modalities or technologies can be used to enhance dementia care, which may improve favorable outcomes when using technology‐assisted interventions to remotely initiate appropriate activities for people with dementia. Because technology allows for simultaneous communication and access to shared multimedia, it removes environmental constraints and allows treatment to be administered remotely. [ABSTRACT FROM AUTHOR]

Introduction: Coronavirus (COVID-19) is a problem that is being widely recognized and occurs in more than 200 countries in the world. The increase in cases has a negative impact on aspects of human life, which can cause anxiety. The purpose of this study was to analyze the effect of positive self-talk on the anxiety of COVID-19 patients. Methods: The population in this study were all COVID-19 patients at Adam Malik Hospital Medan with a total sample of 70 people. The sampling technique is non-probability sampling with a purposive sampling with the inclusion criteria in this study of patients with COVID-19 who were hospitalized with moderate degrees, patients who were cooperative and able to follow the instructions of the researcher. The research design was quasi-experimental and the data analysis used was paired t-test and independent t-test with the p-value <0.05. Result: The results showed that there was anxiety before and after the action was taken between the control group and the intervention group (p=0.000, <0.005). Based on the independent t-test, it showed that there was a positive effect of self-talk on the anxiety of COVID-19 patients before and before the action was taken (p = 0.000, <0.005). Conclusion: Therefore, these results indicate that positive self-talk is effective in reducing anxiety levels in COVID-19 patients. This intervention can be used as an alternative in nursing services to help reduce anxiety levels. [ABSTRACT FROM AUTHOR]

Aims and Objectives: Research examining the effectiveness of resistance band exercises for improving physical and psychological dimensions among frail older adults has been inconsistent. We aimed to examine the effects of resistance band exercises for improving outcomes in frail older adults. Background: To provide robust evidence regarding the effectiveness of resistance band exercises and explore other potential outcomes in frail older adults, a systematic review of RCTs remains necessary. Design: Systematic literature review and meta‐analysis were conducted in accordance with the PRISMA guidelines. Methods: Four databases were searched. English language papers were retrieved from 2006 to 2020. Three reviewers reviewed the methodology of the selected studies using the Joanna Briggs Institute tool for randomised controlled trials. The pooled standardised mean difference was calculated using a random‐effects model. Heterogeneity among pooled studies was assessed using the τ2, Q and I2 statistics, and publication bias was evaluated using Egger's test and the visual inspection of funnel plots. Results: A total of 15 studies met the eligibility criteria for this study. Overall, resistance band exercise reduced frailty after 24 weeks (SMD: −0.29; 95% CI: −0.55 to −0.03) and reduced depression after both 12 weeks (SMD: −0.19; 95% CI: −0.38 to −0.01) and 24 weeks (SMD: −0.30; 95% CI: −0.52 to −0.09). However, no significant effects were observed for frailty after 12 weeks, and no significant effects were observed for grip strength, leg strength, activities of daily living or quality of life at any time. Conclusion: Resistance band exercise might be considered a viable strategy for frail older adults in the community or in long‐term care facilities. More research implementing a standardised protocol remains necessary to identify the effects of different training volumes and the dose–response relationship for the very old and frail population. Relevance to clinical practice: As a safe complementary intervention for frail older adults, health providers should consider resistance band exercises when caring for frail older adults because this intervention has clinical benefits. [ABSTRACT FROM AUTHOR]

Background: Person-centered care emphasizes the importance of valuing and supporting the humanness of a person living with dementia as compared to focusing heavily on disease symptom management and treatment. The state of the evidence and outcomes from person-centered care is unclear and is an important knowledge gap to address informed evidence-based care for persons living with dementia., Aims: To synthesize the evidence on the efficacy of person-centered care in improving health outcomes in people living with dementia., Methods: Our search using the following databases: Academic Search Complete, CINAHL, COCHRANE library, EMBASE, MEDLINE, PubMed, and Google Scholar. The methodology quality of the included studies was assessed using a revised Cochrane risk-of-bias tool for randomized trials. Meta-analyses were performed using the DerSimonian and Laird random effects model to investigate the effectiveness of person-centered care on improving health outcomes in persons living with dementia., Results: Seventeen trials were included in this systematic review and meta-analysis. Person-centered care implementation was found to improve cognitive function (pooled SMD: 0.22; 9CRD420223808975% CI [0.04, 0.41], p = .02) in persons living with dementia, although outcomes including the impact of the care model on activities of daily living, agitation, depression, and quality of life remain inconclusive., Linking Evidence to Action: Person-centered care improves the cognitive function of persons living with dementia, which is clinically meaningful and should not be ignored or overlooked in delivering evidence-based care to this population. The findings of this study emphasize the importance of person-centered care implementation among people living with dementia as an approach in improving health outcomes particularly on cognitive function improvement. Person-centered care emphasizes the personhood of individuals living with dementia while respecting their needs, values, and beliefs and is identified as a preferred model of delivering dementia care in all settings as a non-pharmacological approach., (© 2024 Sigma Theta Tau International.)