相关实验视频
基于指导方针的多组分干预对在养老院使用身体限制的效果:随机对照试验
Sascha Köpke1, Ingrid Mühlhauser, Anja Gerlach
1Unit of Health Sciences and Education, University ofHamburg, Hamburg, Germany. sascha.koepke@uksh.de
JAMA
|May 24, 2012
概括
一项多组件干预措施显著减少了养老院的身体限制使用. 这种以指南和理论为基础的方法提高了居民的安全性,而不会增加跌倒或药物使用.
科学领域:
- 老年学和老年医疗护理
- 养老院质量提升 养老院质量提升
- 基于证据的实践实施实施.
背景情况:
- 尽管有法律规定和证据表明无效和安全问题,但在养老院中经常使用物理约束.
- 在长期护理机构中,身体限制的使用率仍然很高,需要有效的减少策略.
研究的目的:
- 为了减少在养老院使用身体约束的普遍性.
- 根据基于证据的指导方针和计划行为的理论来评估多组件干预.
主要方法:
- 一个为期6个月的集群随机对照试验,涉及两个德国城市的36个养老院集群.
- 干预组接受了指导方针和基于理论的计划,包括员工培训和支持材料.
- 主要结局通过直接,未经预告的观察来衡量6个月后身体克制的流行情况.
主要成果:
- 干预组在6个月后 (P = .03) 与对照组 (29.1%) 相比,身体克制的使用量在统计学上显著减少 (22.6%).
- 所有类型的身体限制在干预组中使用的频率都较低.
- 没有观察到群体之间的跌倒,跌倒相关的骨折或精神药物处方的显著差异.
结论:
- 基于指导方针和理论的多组件干预措施有效地减少了养老院的身体克制使用.
- 这种干预为改善长期护理机构的护理质量和居民福祉提供了一个有希望的策略.
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