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Patient Activation and its Predictors in Hospitalized Older Adults in Singapore
Ee-Yuee Chan1, George Frederick Glass2, Run Qi Cheong3
1Nursing Research Unit, Nursing Service, Tan Tock Seng Hospital, Singapore; Alice Lee Centre of Nursing Studies, National University of Singapore, Singapore.
Background:
Patient activation is critical in hospitalized older adults preparing for discharge as it enhances their ability to self-care at home. Little is known about how person-centred care and demographic predictors could influence activation in Asian patients.
Aims:
To explore patient activation and its predictors in hospitalized older adults in Singapore.
Methods:
Multi-centre cross-sectional survey of hospitalized older adults. Multivariable analysis conducted with age, gender, education, socioeconomic status, functional dependency and perception of person-centred care as potential predictors to patient activation.
Results:
300 older adults were surveyed, 65% were at the top two levels of activation. Perception of person-centred nursing care was the strongest predictor with the largest effect on patient activation, (β=0.22, b=3.48, 95% CI:1.70-5.26, p<0.001). Other predictors were age, education, income and independence in care.
Conclusion:
Our study highlights the importance of person-centred nursing care in raising patient activation in hospitalized older adults, enhancing their capacity to self-care.
