Effects of Bathing Skills Training on Independence and Satisfaction of Older Adults Living in a Nursing Home: A Randomized Controlled Trial.

Q2 Medicine Medical Journal of the Islamic Republic of Iran Pub Date : 2023-09-20 eCollection Date: 2023-01-01 DOI:10.47176/mjiri.37.103

Mohammad Khayatzadeh-Mahani, Sepide Riyahi, Elham Amiri, Kambiz Ahmadi Angali

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Abstract

Background: Dependence in bathing is the most common activities of daily living (ADLs) dependency among older adults. The aim of this study was to evaluate the effect of bathing skills training on the independence and satisfaction of older adults living in nursing homes.

Methods: In this randomized controlled trial, 80 participants were assigned randomly to the intervention (n = 40) and control groups (n = 40). The intervention group received 10 weekly bathing skills training sessions, with each session lasting about 60 minutes, while the control group received no direct training. The evaluation was conducted using the Modified Barthel Index (MBI) and the Canadian Occupational Performance Measure (COPM). Analysis of variance for repeated measurements was used to test the effect of intervention at the baseline, post-intervention, and follow-up.

Results: The mean improvement in the MBI was greater for the intervention group (P < 0.001; partial η2 = 0.34), which remained significant at the follow-up (P < 0.001; partial η2 = 0.41). The greater mean change of the COPM-Performance was significant in the intervention group (P < 0.001; partial η2 = 0.17), which remained significant at the follow-up (P < 0.001; partial η2 = 0.19). The greater mean improvement of the COPM-Satisfaction was observed for the intervention group (P < 0.001; partial η2 = 0.36), which remained at the follow-up (P = 0.001; partial η2 = 0.42).

Conclusion: Bathing skills training is effective in improving the ADLs independence and satisfaction in older adults living in nursing homes; thus, it is recommended to be included in the schedules of nursing homes.

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沐浴技能训练对养老院老年人独立性和满意度的影响:一项随机对照试验。

背景:洗澡依赖是老年人中最常见的日常生活活动(ADLs)依赖。摘要本研究旨在探讨沐浴技能训练对养老院老年人独立性及满意度的影响。方法:随机对照试验将80例受试者随机分为干预组(n = 40)和对照组(n = 40)。干预组每周接受10次洗澡技能训练，每次持续约60分钟，而对照组不接受直接训练。评估采用修正Barthel指数(MBI)和加拿大职业绩效测量(COPM)进行。重复测量的方差分析用于在基线、干预后和随访时检验干预的效果。结果:干预组MBI的平均改善更大(P < 0.001;偏η值2 = 0.34)，随访时仍有显著性差异(P < 0.001;偏η2 = 0.41)。干预组COPM-Performance的平均变化更大(P < 0.001;偏η2 = 0.17)，在随访中仍有显著性差异(P < 0.001;偏η2 = 0.19)。干预组copm满意度的平均改善更大(P < 0.001;部分η值2 = 0.36)，随访时仍然存在(P = 0.001;偏η = 0.42)。结论:沐浴技能训练能有效提高养老院老年人生活自理能力的独立性和满意度;因此，建议将其列入养老院的时间表。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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