高齢者の間での手術前神経認知障害に関する情報とカウンセリングのギャップ
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PubMedで要約を見る
まとめ
この要約は機械生成です。高齢者は手術前の神経認知障害 (PND) に関する情報や 症状が出た後の指導を受けないことが多い. この意識と支援の欠如は 手術後の合併症の予防と回復を妨げています
科学分野
- 高齢者医療
- 麻酔科
- 神経科学
背景
- 術後神経認知障害 (PND) は,老年患者における頻繁な合併症です.
- 早期発見と予防戦略は 患者の回復を向上させるのに不可欠です
- PND に関する患者の意識と受け取った情報を理解することは不可欠です.
研究 の 目的
- PNDに関する高齢者の知識を評価する.
- 手術前と後の PND に関する患者への情報とカウンセリングの評価
- PND に関する手術前ケアにおけるギャップを特定する.
主な方法
- 術前調査と術後の半構造面接を組み合わせた混合方法の研究.
- 調査では,選択手術の前に312人の高齢者から受け取った情報についてデータを収集した.
- PNDの症状を報告した10人の高齢者のカウンセリング体験を調査した.
主要な成果
- 手術前 PND リスクについて医師と話し合った患者は 7% しかおらず,教育資料も受けなかった.
- PNDの症状を経験した患者のうち,90%が提供者との相談を求めたが,具体的なカウンセリングや指導は受けなかった.
- インタビューを受けたすべての患者は,更なる介入なしに症状が解消するかどうかを待つことを勧められた.
結論
- 定期的な手術後のケアでは PNDのリスクと症状管理に関する重要な議論が欠けている.
- PNDの管理については 患者さんには多くの情報が与えられず ガイドラインも与えられていません
- PND教育と支援を 標準的な外科ケアに組み込むことが不可欠です
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