engleski

QUALITY INDICATORS RELATED TO GEROPROPHYLAXIS IN CROATIAN NURSING HOMES

Aim: To determine and compare the values of quality indicators related to geroprophylaxis in Croatian nursing homes in 2017 and 2018, including the incidence of pressure ulcers in the past 90 days, prevalence of malnutrition and obesity, vaccination against infl uenza in the past 12 months, receiving nine or more medications daily, and the presence of elements of the 5Is geriatric syndrome in nursing home residents. Participants and Methods: Data collection was conducted using the Questionnaire on monitoring quality indicators in nursing homes in 160 Croatian nursing homes (county-owned, state and other founders) in 2017 and 2018. Based on the data available, 6 quality indicators related to geroprophylaxis were calculated. Results: We received 66 (40%) completed questionnaires in 2017 and 64 (41%) in 2018. There was no statistically signifi cant difference between the two time points for any of the indicators ; the median prevalence of malnutrition was 4.9% (IQ=1.2%-8.2%) in 2017 and 5.0% (IQR=2.3- 8.1) in 2018 ; the prevalence of nursing home residents with a body mass index indicating obesity was 16.7% (IQR=7.2%-33.6%) in 2017 and 10.7% (IQR=5.0%-19.4 %) in 2018 ; the prevalence of residents receiving nine or more drugs per day was 20.6% (IQR=11.9%-34.4%) in 2017 and 22.1% (IQR=13.8%-36.7%) in 2018 ; the prevalence of residents with elements of the 5Is geriatric syndrome was 25.4% (IQR=9.7%-49.7%) in 2017 and 27.2% (IQR=10.2%-54.1%) in 2018 ; the prevalence of residents vaccinated against infl uenza in the last 12 months was 54.1% (IQR=35.8%-76.1%) in 2017 and 62.7% (46.6% -81.7%) in 2018 ; and the incidence of residents with pressure ulcers developed in the past 90 days was 0.7% (IQR=0%-1.7%) in 2017 and 1.3% (IQR=0.0%-2.3%) in 2018. Conclusion: This study showed that the quality indicators assessed did not result in a statistically signifi cant change in Croatian nursing homes over two years. Our research implies that all quality indicators require gerontologic- public health interventions, demonstrating the importance of applying geroprophylactic measures from the Program of primary, secondary, tertiary and quaternary prevention for the elderly in nursing homes.

quality indicators in nursing home, geroprophylaxis, nursing home

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