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NIHR Signal Person-centred care improves quality of life for care home residents with dementia
A person-centred care intervention for people with dementia living in care homes improved their quality of life, reduced agitation and improved interactions with staff. It may also save costs compared with usual care. The WHELD intervention involves training staff in person-centred care, with a focus on improving social interactions and appropriate use of antipsychotic medications. An early study suggested it could halve antipsychotic use. This larger-scale NIHR trial conducted across 69 UK nu...
NIHR Signal Men feel physically and psychologically ill-prepared for prostate cancer surgery
Following prostate cancer surgery men often experience physical changes, such as urinary incontinence and erectile dysfunction, causing negative emotions and distress. This review found that men felt poorly prepared – psychologically and physically – for the changes they might experience after surgery. Surgery was often described as "life-changing", and men described worrying about their future. NICE recommend that men and their partners/carers are fully informed about pro...
NIHR Signal Blood pressure self-monitoring works best when people are well-supported
People with high blood pressure are more likely to have their blood pressure controlled after 12 months if they self-monitor and receive counselling by telephone compared with usual monitoring in the clinic. When people were asked to self-monitor their blood pressure with no additional support, it was no better than getting their blood pressure measured in a clinic. This NIHR-funded review of 25 trials found that self-monitoring with counselling by telephone reduced systolic blood pressure by a...
NIHR Signal Use of public defibrillators linked to out-of-hospital cardiac arrest survival
Providing a shock using a defibrillator to people with out-of-hospital cardiac arrest before the arrival of emergency medical services increases their chance of survival. The UK survival rate is around 8%, which is lower than in other developed countries. This review found that bystander assistance through cardiopulmonary resuscitation and attaching a defibrillator increased it to 32%, compared to 12% for police or firefighters. Survival rates were even higher for people who had a rhythm that c...
NIHR Signal Carers of stroke survivors voice an unmet need for practical and emotional support
The carers of stroke survivors express a need to be recognised by hospital rehabilitation teams as partners in care. Carers emphasised that their deep knowledge can contribute to joint decision making about the care of their spouse or family member. This research suggests that considering carers’ needs for support, information and training into care planning could ease the distress currently reported. This review describes how family, friends and spouses often felt emotionally overwhelmed...
NIHR Signal Parents want more balanced information on risks and benefits in advance of vaccinations
Parents say that insufficient information can lead them to regret their vaccination decision. They often want more information from trusted sources and expect practitioners to discuss both benefits and risks in good time before vaccination. England and Wales are below World Health Organization (WHO) targets for the uptake of several immunisations. This Cochrane review of 38 qualitative studies focused on the views of parents in relation to communications about vaccinations for children under si...
NIHR Highlight Patient experience of primary care
Every year since 2007 the NHS in England asked patients what they think about their GP practice in a large national survey. The survey findings are intended to inform patients, healthcare professionals and planners about patients’ experience of the care provided by individual practices in England. This Highlight shares insights obtained from research using this general practice survey data. We share findings on what patients really think about their care, how this varies for different patient g...
NIHR Signal People prefer shorter compression stockings to prevent blood clots
People having surgery prefer wearing knee length to thigh length compression stockings to prevent deep vein thrombosis (DVT). They are more likely to wear knee length stockings correctly and for the recommended time. DVT is a clot in the deep leg veins and surgery is a known risk factor. If the clot travels to the lung blood vessels, this can cause the potentially fatal complication of pulmonary embolism. This review of 16 studies included randomised trials and observational studies reporting ...
NIHR Signal Birthplace in England follow-up analysis reveals some variation between units delivering maternity care
This study is a follow-on analysis of data from the Birthplace in England study. It consists of five sub-studies that further analyse the original Birthplace in England study data. The NIHR funded this study to provide evidence to inform the development of maternity services. It found that, irrespective of the woman’s ethnic background, age or socioeconomic status, midwife led units for “low risk” women led to fewer interventions with no difference in outcomes compared to obst...
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