Nathanial Schreiner1, Barbara Daly1. 1. Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.
Abstract
PURPOSE: This study aimed to measure treatment burden in adults diagnosed with multiple chronic conditions transitioning from a skilled nursing facility to home. DESIGN: Prospective, two-time point, cohort design utilizing convenience sampling from one skilled nursing facility in Northeast, Ohio. METHODS: Seventy-four men and women participated answering self-report questions measuring treatment burden at two time points: prior to discharge and 30 days after discharge. RESULTS: t-test analysis determined treatment burden was not statistically different between time points (p > .05). Multivariate analysis explained 23% of treatment burden's variance, with the severity of multiple chronic conditions and the presence of a caregiver predicting treatment burden (p < .05). CONCLUSION: Findings were contrary to our hypothesis of this population being at risk for high treatment burden. CLINICAL RELEVANCE: Moderate, fluctuating levels of treatment burden suggest that it is possible to estimate demands of treatment prior to discharge from the skilled nursing facility to better inform discharge planning.
PURPOSE: This study aimed to measure treatment burden in adults diagnosed with multiple chronic conditions transitioning from a skilled nursing facility to home. DESIGN: Prospective, two-time point, cohort design utilizing convenience sampling from one skilled nursing facility in Northeast, Ohio. METHODS: Seventy-four men and women participated answering self-report questions measuring treatment burden at two time points: prior to discharge and 30 days after discharge. RESULTS: t-test analysis determined treatment burden was not statistically different between time points (p > .05). Multivariate analysis explained 23% of treatment burden's variance, with the severity of multiple chronic conditions and the presence of a caregiver predicting treatment burden (p < .05). CONCLUSION: Findings were contrary to our hypothesis of this population being at risk for high treatment burden. CLINICAL RELEVANCE: Moderate, fluctuating levels of treatment burden suggest that it is possible to estimate demands of treatment prior to discharge from the skilled nursing facility to better inform discharge planning.
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