Use of health services by elderly people post-stroke: a randomized controlled trial.

AIM: To verify the relation of a nursing home care educational intervention in the use of health services by elderly people post-stroke. METHODS: A randomized controlled trial conducted with 44 family caregivers of elderly people post-stroke. Data was collected between May/2016 and July/2018 in a hospital in the South of Brazil and at the participants' homes. The intervention group (IG=21) received home visits by nurses after hospital discharge. The control group (CG=23) had a conventional follow-up in a conventional health services. The Pearson's Chi-Square Test or the Fisher's Exact Test was performed for assessment of the outcome at 60 days and 1 year after discharge. Clinical Trial registration NCT02807012. RESULTS: There was a significant difference regarding the use of hospital outpatient service (IG=100%, CG=78.3%, p<0.050) 60 days after discharge. CONCLUSION: The great use of outpatient service by the IG demonstrates the effectiveness of nursing educational intervention focused on health care network after discharge.

Use of health services by elderly people post-stroke: a randomized controlled trial / Utilización de los servicios de salud por ancianos después de un accidente cerebro-vascular: un ensayo clínico randomizado / Utilização dos serviços de saúde por idosos após acidente vascular cerebral: ensaio clínico randomizado

Abstract Aim: To verify the relation of a nursing home care educational intervention in the use of health services by elderly people post-stroke. Methods: A randomized controlled trial conducted with 44 family caregivers of elderly people post-stroke. Data was collected between May/2016 and July/2018 in a hospital in the South of Brazil and at the participants' homes. The intervention group (IG=21) received home visits by nurses after hospital discharge. The control group (CG=23) had a conventional follow-up in a conventional health services. The Pearson's Chi-Square Test or the Fisher's Exact Test was performed for assessment of the outcome at 60 days and 1 year after discharge. Clinical Trial registration NCT02807012. Results: There was a significant difference regarding the use of hospital outpatient service (IG=100%, CG=78.3%, p<0.050) 60 days after discharge. Conclusion: The great use of outpatient service by the IG demonstrates the effectiveness of nursing educational intervention focused on health care network after discharge.

Resumen Objetivo: Verificar la relación de la intervención educativa domiciliaria de enfermería en la utilización de los servicios de salud por ancianos después de un Accidente Cerebro-Vascular (ACV). Métodos: Ensayo clínico controlado realizado con 44 cuidadores familiares de ancianos después de un ACV. Los datos se recolectaron entre mayo de 2016 y julio de 2018 en un hospital del sur de Brasil y en los domicilios de los participantes. El grupo de intervención (GI = 21) recibió visitas domiciliarias de enfermeros luego del alta hospitalaria. El grupo de control (GC = 23) mantuvo un seguimiento convencional en la red de servicios. El desenlace fue evaluado a los 60 días y 1 año después del alta. Se realizaron las pruebas Chi-cuadrado de Pearson o Exacta de Fisher para evaluar el desenlace a los 60 días y 1 año después del alta. Registro de ensayo clínico NCT02807012. Resultados: Se registró una diferencia significativa en la utilización del servicio ambulatorio hospitalario (GI = 100%, GC = 78,3%, p <0,050) 60 días después del alta. Conclusión: El mayor uso del servicio ambulatorio por parte del GI demuestra la efectividad de las intervenciones educativas de enfermería, enfocadas en la red de atención a la salud luego del alta hospitalaria.

Resumo Objetivo: Verificar a relação de intervenção educativa domiciliar de enfermagem na utilização dos serviços de saúde por idosos após Acidente Vascular Cerebral (AVC). Métodos: Ensaio clínico randomizado com 44 cuidadores familiares de idosos após AVC. Os dados foram coletados entre maio/2016 e julho/2018 em hospital no Sul do Brasil e domicílio dos participantes. O grupo intervenção (GI=21) recebeu visitas domiciliares por enfermeiros após a alta hospitalar. O grupo controle (GC=23) manteve acompanhamento convencional na rede de serviços. Realizaram-se Teste Qui-quadrado de Pearson ou Exato de Fisher para avaliação do desfecho em 60 dias e 1 ano após a alta. Registro no Clinical Trials NCT02807012. Resultados: Houve diferença significativa quanto à utilização do serviço ambulatorial hospitalar (GI=100%, GC=78,3%, p<0,050) em 60 dias após a alta. Conclusão: A maior utilização do serviço ambulatorial pelo GI demonstra efetividade das intervenções de enfermagem direcionadas à rede de atenção à saúde após a alta.