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Impact of Personalized In-Home Nursing Care Plans on Dependence in ADLs/IADLs and on Family Burden Among Adults Diagnosed With Schizophrenia: A Randomized Controlled Study

Authors

  • Juan Roldán-Merino PhD,

    Corresponding author
    1. Juan Roldán-Merino, PhD, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Professor, Campus Docent, Sant Joan de Déu-Fundació Privada, School of Nursing, University of Barcelona, and Researcher, CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain; Irma Casas García, MD, PhD, is an MD, Hospital Germans Trias i Pujol, and Professor, Universitat Autonoma de Barcelona, Barcelona, Spain; Juan Diego Ramos-Pichardo, PhD, is a Professor, Department of Nursing, University of Alicante, Alicante, Spain; Alexandrina Foix-Sanjuan, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, and Researcher, CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain; Jordi Quilez-Jover, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Barcelona, Spain; and Manel Montserrat-Martinez, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Barcelona, Spain.
      jroldan@santjoandedeu.edu.es, with a copy to the Editor: gpearson@uchc.edu
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  • Irma Casas García MD, PhD,

    1. Juan Roldán-Merino, PhD, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Professor, Campus Docent, Sant Joan de Déu-Fundació Privada, School of Nursing, University of Barcelona, and Researcher, CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain; Irma Casas García, MD, PhD, is an MD, Hospital Germans Trias i Pujol, and Professor, Universitat Autonoma de Barcelona, Barcelona, Spain; Juan Diego Ramos-Pichardo, PhD, is a Professor, Department of Nursing, University of Alicante, Alicante, Spain; Alexandrina Foix-Sanjuan, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, and Researcher, CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain; Jordi Quilez-Jover, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Barcelona, Spain; and Manel Montserrat-Martinez, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Barcelona, Spain.
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  • Juan Diego Ramos-Pichardo PhD,

    1. Juan Roldán-Merino, PhD, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Professor, Campus Docent, Sant Joan de Déu-Fundació Privada, School of Nursing, University of Barcelona, and Researcher, CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain; Irma Casas García, MD, PhD, is an MD, Hospital Germans Trias i Pujol, and Professor, Universitat Autonoma de Barcelona, Barcelona, Spain; Juan Diego Ramos-Pichardo, PhD, is a Professor, Department of Nursing, University of Alicante, Alicante, Spain; Alexandrina Foix-Sanjuan, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, and Researcher, CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain; Jordi Quilez-Jover, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Barcelona, Spain; and Manel Montserrat-Martinez, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Barcelona, Spain.
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  • Alexandrina Foix-Sanjuan RN,

    1. Juan Roldán-Merino, PhD, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Professor, Campus Docent, Sant Joan de Déu-Fundació Privada, School of Nursing, University of Barcelona, and Researcher, CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain; Irma Casas García, MD, PhD, is an MD, Hospital Germans Trias i Pujol, and Professor, Universitat Autonoma de Barcelona, Barcelona, Spain; Juan Diego Ramos-Pichardo, PhD, is a Professor, Department of Nursing, University of Alicante, Alicante, Spain; Alexandrina Foix-Sanjuan, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, and Researcher, CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain; Jordi Quilez-Jover, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Barcelona, Spain; and Manel Montserrat-Martinez, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Barcelona, Spain.
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  • Jordi Quilez-Jover RN,

    1. Juan Roldán-Merino, PhD, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Professor, Campus Docent, Sant Joan de Déu-Fundació Privada, School of Nursing, University of Barcelona, and Researcher, CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain; Irma Casas García, MD, PhD, is an MD, Hospital Germans Trias i Pujol, and Professor, Universitat Autonoma de Barcelona, Barcelona, Spain; Juan Diego Ramos-Pichardo, PhD, is a Professor, Department of Nursing, University of Alicante, Alicante, Spain; Alexandrina Foix-Sanjuan, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, and Researcher, CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain; Jordi Quilez-Jover, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Barcelona, Spain; and Manel Montserrat-Martinez, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Barcelona, Spain.
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  • Manel Montserrat-Martinez RN

    1. Juan Roldán-Merino, PhD, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Professor, Campus Docent, Sant Joan de Déu-Fundació Privada, School of Nursing, University of Barcelona, and Researcher, CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain; Irma Casas García, MD, PhD, is an MD, Hospital Germans Trias i Pujol, and Professor, Universitat Autonoma de Barcelona, Barcelona, Spain; Juan Diego Ramos-Pichardo, PhD, is a Professor, Department of Nursing, University of Alicante, Alicante, Spain; Alexandrina Foix-Sanjuan, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, and Researcher, CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain; Jordi Quilez-Jover, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Barcelona, Spain; and Manel Montserrat-Martinez, RN, is a Registered Nurse, Parc Sanitari Sant Joan de Déu, Barcelona, Spain.
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  • Conflict of Interest Statement: The authors report no actual or potential conflicts of interest.

jroldan@santjoandedeu.edu.es, with a copy to the Editor: gpearson@uchc.edu

Abstract

PURPOSE:  The study aims to assess the impact of personalized in-home nursing care plans on the degree of dependence among adult patients with schizophrenia, and on family burden.

DESIGN AND METHODS:  This is a randomized controlled study with 94 participants: The experimental group received a personalized in-home nursing care plan. The comparison group got a standard care at its mental health center.

FINDINGS:  The pretest–posttest multivariate analysis of covariance revealed statistically significant group differences (p= .003). The help received the positive activity and the degree of independence in the experimental group improved mainly due to intervention.

PRACTICE IMPLICATIONS:  A personalized in-home nursing care plan improves the degree of independence of people diagnosed with schizophrenia living in the community and reduces the burden perceived by the family.

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