Changes in Health Risks, Daily Activities, and Antipsychotic Use After Humanitude Care for People With Dementia: A Retrospective Study.
Sungjun Kim, Jiyoung Kim, SungWoo Chung and 1 others
PMID 40298174WHAT IT FOUND
In 67 people with dementia, fall risk improved and antipsychotic use decreased after Humanitude care, but pressure ulcer risk and some daily tasks worsened.
This before-and-after study cannot show the care caused the changes.
Key findings
01The probability of moving to a lower fall-risk group increased by approximately 6%, 11% and 19% at August 2023, November 2023 and February 2024 compared with February 2023.
02The estimated mean number of antipsychotic agents used was 3.82 in February 2024, compared with 4.47 in February 2023, 4.74 in May 2023 and 4.60 in August 2023.
03Pressure ulcer risk increased over time, while total activities of daily living showed no significant difference.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a before-and-after record review, so changes over time cannot be attributed to Humanitude care alone. Assessments came from medical records completed by staff on duty, and inter-rater reliability was not ensured. The sample was 67 people in two municipal nursing hospitals in South Korea, so it may not apply elsewhere. Participants were selected because they had used antipsychotic agents before Humanitude care, so results may not apply to people not on these medications. The data were too uneven to include age and sex in the model. The small sample limited more advanced analysis.
Declared interests
The authors declared no conflicts of interest. The study was funded by the Incheon Metropolitan Dementia Center.
The easy way to misread this
Do not conclude that Humanitude care caused lower fall risk and fewer antipsychotic agents. This was a before-and-after record review, and pressure ulcer risk and some daily activities worsened, so the changes may be due to time or dementia progression.