Reliability of INTERMED Spanish version and applicability in liver transplant patients: a cross-sectional study

Lobo, Elena; Rabanaque, María José; Bellido, MaLuisa; Lobò, Antonio

doi:10.1186/1472-6963-11-160

Cited by 8 publications

(7 citation statements)

References 30 publications

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“…(8)(9)(10)(11) The profile of the elderly investigated in this study showed a mean age of 72.3 years, females predominated, with a socioeconomic income in the range of three times the minimum wage, a profile that was similar to that observed in the literature. (12)(13)(14)(15) The increase in longevity was a response to the evolution of medical science, however, the quality of life of the elderly was one of the greatest challenges in developing countries, where poverty and social inequality were highlighted.…”

Section: Discussionsupporting

confidence: 72%

“…It explored many pieces of patient data, providing knowledge and current, historical, and future assessment of four aspects -biological, psychological, social and health system -and enabled the collection of data by others involved in patient care, such as family members and caregivers, in cases in which the patient was unable to answer questions due to severe cognitive impairment or other disorders. (6,9) Data were analyzed using the Statistical Package for the Social Sciences (SPSS) for Windows version 17. A descriptive analysis was performed.…”

Section: Methodsmentioning

confidence: 99%

“…(7) The validity of this instrument is documented for the care of several types of patients. (8)(9)(10) Compared with usual care, targeted nursing interventions based on the INTERMED scores resulted in improvements in quality of life, at the time of admission and discharge in patients in general practice and in elderly patients requiring interdisciplinary care. (6,(8)(9)(10)(11) Assuming the importance of providing comprehensive care to the hospitalized elderly, this study aims to investigate biopsychosocial aspects of hospitalized elderly, and aspects of the health system, and to classify their degree of care complexity.…”

Section: Introductionmentioning

confidence: 99%

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Biopsychosocial aspects and the complexity of care of hospitalized elderly

Gutierrez

Silva

Shimizu³

2014

Acta paul. enferm.

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Objective: To investigate the biopsychosocial aspects and aspects of the health system of hospitalized elderly and to classify their degree of care complexity. Methods: This was a quantitative study whose convenience sample consisted of 279 elderly. The Interdisciplinary Medicine Instrument (INTERMED) method was used, a tool that identified biopsychosocial aspects and conditions of the health system and classified the complexity of the patient. The data were submitted to descriptive analysis. Results: The prevailing profile was of elderly women, retired, white, with low educational levels, married and satisfied with their life conditions. The mean age was 72.3 years. The biological domain was the most compromised. As for the complexity of care, 34.8% of the patients required multiprofessional care. Conclusion: The elderly had high care complexity, with the biological and health system domains being the most compromised. ResumoObjetivos: Conhecer os aspectos biopsicossociais e as condições do sistema de saúde de idosos hospitalizados e classificar o grau de complexidade assistencial. Métodos: Trata-se de estudo quantitativo, cuja amostra por conveniência foi constituída por 279 idosos. Utilizou-se o método Interdisciplinary Medicine Instrument (INTERMED), ferramenta que identifica aspectos biopsicossociais e condições do sistema de saúde e classifica a complexidade do paciente. Os dados foram submetidos à análise descritiva. Resultados: Predominou idosos do gênero feminino, aposentados, de cor branca, baixa escolaridade, casados e satisfeitos com as condições de saúde. A média de idade foi 72,3 anos. O domínio biológico foi o mais comprometido. Quanto à complexidade assistencial, 34,8 % dos pacientes requerem assistência multiprofissional. Conclusão: Os idosos apresentaram elevada complexidade assistencial, com maior comprometimento nos domínios biológico e sistema de saúde.

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Section: Discussionsupporting

confidence: 72%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Biopsychosocial aspects and the complexity of care of hospitalized elderly

Gutierrez

Silva

Shimizu³

2014

Acta paul. enferm.

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“…Potential contributory factors were collected from routinely administered scales and medical records for all patients, and these were divided into biological, psychological, and social factors. Biological factors include (1) diagnosis category (rotator cuff/bursa injuries versus others); (2) Abbreviated Injury Scale (AIS) score (minor injury versus others) [ 1 ]; (3) Cumulative Illness Rating Scale [ 25 ], which assesses medical comorbidities (range, 0–56); and (4) the biological subscale (ie, chronicity, diagnostic dilemma, symptom severity/impairment, therapeutic challenge, and life threats [ 20 ]) of the INTERMED tool (range, 0–15) [ 18 , 27 , 39 ].…”

Section: Methodsmentioning

confidence: 99%

Clinician and Patient-reported Outcomes Are Associated With Psychological Factors in Patients With Chronic Shoulder Pain

Wolfensberger

Vuistiner

Konzelmann

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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BackgroundValidated clinician outcome scores are considered less associated with psychosocial factors than patient-reported outcome measurements (PROMs). This belief may lead to misconceptions if both instruments are related to similar factors.QuestionsWe asked: In patients with chronic shoulder pain, what biopsychosocial factors are associated (1) with PROMs, and (2) with clinician-rated outcome measurements?MethodsAll new patients between the ages of 18 and 65 with chronic shoulder pain from a unilateral shoulder injury admitted to a Swiss rehabilitation teaching hospital between May 2012 and January 2015 were screened for potential contributing biopsychosocial factors. During the study period, 314 patients were screened, and after applying prespecified criteria, 158 patients were evaluated. The median symptom duration was 9 months (interquartile range, 5.5–15 months), and 72% of the patients (114 patients) had rotator cuff tears, most of which were work injuries (59%, 93 patients) and were followed for a mean of 31.6 days (SD, 7.5 days). Exclusion criteria were concomitant injuries in another location, major or minor upper limb neuropathy, and inability to understand the validated available versions of PROMs. The PROMs were the DASH, the Brief Pain Inventory, and the Patient Global Impression of Change, before and after treatment (physiotherapy, cognitive therapy and vocational training). The Constant-Murley score was used as a clinician-rated outcome measurement. Statistical models were used to estimate associations between biopsychosocial factors and outcomes.ResultsGreater disability on the DASH was associated with psychological factors (Hospital Anxiety and Depression Scale, Pain Catastrophizing Scale combined coefficient, 0.64; 95% CI, 0.25–1.03; p = 0.002) and social factors (language, professional qualification combined coefficient, −6.15; 95% CI, −11.09 to −1.22; p = 0.015). Greater pain on the Brief Pain Inventory was associated with psychological factors (Hospital Anxiety and Depression Scale, Pain Catastrophizing Scale combined coefficient, 0.076; 95% CI, 0.021–0.13; p = 0.006). Poorer impression of change was associated with psychological factors (Hospital Anxiety and Depression Scale, Pain Catastrophizing Scale, Tampa Scale of Kinesiophobia coefficient, 0.93; 95% CI, 0.87–0.99; p = 0.026) and social factors (education, language, and professional qualification coefficient, 6.67; 95% CI, 2.77–16.10; p < 0.001). Worse clinician-rated outcome was associated only with psychological factors (Hospital Anxiety and Depression Scale (depression only), Pain Catastrophizing Scale, Tampa Scale of Kinesiophobia combined coefficient, −0.35; 95% CI, −0.58 to −0.12; p = 0.003).ConclusionsDepressive symptoms and catastrophizing appear to be key factors influencing PROMs and clinician-rated outcomes. This study suggests revisiting the Constant-Murley score.Level of EvidenceLevel III, prognostic study.

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“…Assistir integralmente é também criar espaços, no momento da hospitalização, para o "vir a ser" saúde (Weber, 2008). Nesse sentido também, o uso do método INTERMED facilita a coordenação do cuidado, a organização do time assistencial e a comunicação entre os profissionais, melhorando os resultados clínicos e a satisfação dos pacientes (Lobo at al., 2011).…”

Section: As Comorbidades Psicossociais Influenciam Os Resultados Deunclassified

Tradução, adaptação transcultural e validação do método intermed para a Língua Portuguesa: estudo em pacientes hospitalizados

Weber¹

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Reliability of INTERMED Spanish version and applicability in liver transplant patients: a cross-sectional study

Cited by 8 publications

References 30 publications

Biopsychosocial aspects and the complexity of care of hospitalized elderly

Biopsychosocial aspects and the complexity of care of hospitalized elderly

Clinician and Patient-reported Outcomes Are Associated With Psychological Factors in Patients With Chronic Shoulder Pain

Tradução, adaptação transcultural e validação do método intermed para a Língua Portuguesa: estudo em pacientes hospitalizados

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