在通用医学医院单位实施的多组分 Delirium 预防计划的有效性:一个中断的时间序列分析
Judith Versloot1,2, Simona C Minotti3,4, Samia Amer3
1Institute for Better Health, Trillium Health Partners, Mississauga, ON, Canada. judith.versloot@thp.ca.
Journal of general internal medicine
|July 10, 2023
概括
实施多组分妄症计划显著降低了医院患者的妄症患病率和跌倒率. 这项计划改善了患者的安全和结果,特别是在72-83岁的老年人中.
科学领域:
- 老年学是一门学科.
- 医院 医院 医疗 医疗 医疗 医疗
- 患者安全 患者安全
背景情况:
- 妄想是一种常见且有害的医院事件.
- 它与更糟糕的患者结果有关,包括跌倒,停留更长时间和死亡率.
研究的目的:
- 评估综合妄想计划的影响.
- 该计划的目的是降低一般医学部门的妄想患病率和跌倒率.
主要方法:
- 采用了干预前后研究设计.
- 在16个月内,通过回顾性图表审查 (CHART-del) 收集了800名患者的数据.
- 用中断时间序列分析来评估趋势.
主要成果:
- 多组件妄症计划成功降低了妄症的患病率.
- 干预后,跌倒发生率也显著下降.
- 在72-83岁的患者中观察到最大的减少.
结论:
- 一个多组分的妄想计划是有效的减少妄想和跌倒.
- 这种方法提高了一般医学环境中的患者安全.
- 有针对性的干预措施可以改善弱势患者群体的治疗结果.
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