对比两种不同的骨骨折患者护理的正经老年模型:一项观察性前性横截面研究
Lene Bergendal Solberg1, Elise Berg Vesterhus2, Ingvild Hestnes2
1Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway l.b.solberg@gmail.com.
BMJ open quality
|October 2, 2023
概括
对关节骨折患者的综合护理模型显示出比标准老年人咨询服务更好的结果. 这种方法改善了疼痛管理,早期动员和骨质疏松症治疗考虑,提高了整体患者护理.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 提高质量 提高质量
背景情况:
- 关节骨折在脆弱的老年患者中很常见,通常需要广泛的手术,并带来并发症,依赖和死亡的高风险.
- 与传统的骨科护理相比,骨科老年人护理模型已经证明了优异的结果.
- 正在研究正老骨科护理的最佳交付模式,特别是整合程度.
研究的目的:
- 评估和比较两种不同的正经老年护理模型对关节骨折患者的有效性.
- 确定综合护理模式 (ICM) 是否比老年咨询服务 (GCS) 有优势.
主要方法:
- 使用前景骨折质量数据库来比较两个同时存在的护理模型:综合护理模型 (ICM) 和老年咨询服务 (GCS).
- 从2019年到2021年收集数据,分析了516名患者 (360名ICM,156名GCS).
- 进行了后勤回归分析,根据患者的关键特征进行调整.
主要成果:
- 综合护理模型 (ICM) 组显示,手术前的神经阻塞 (OR 2.0) 及早尿导管切除 (OR 1.9) 和第一天手术后动员率 (OR 1.5) 显着更高.
- 此外,ICM患者更有可能被考虑接受骨质疏松症治疗 (OR 8.58).
- 两种模型之间在手术时间,住院时间,出院目的地或死亡率方面没有发现显著差异.
结论:
- 与老年医疗咨询服务 (GCS) 相比,综合护理模式 (ICM) 在所有评估的质量指标上表现相等或更好.
- 这表明,更高程度的整合在正经老年护理可能会导致改善患者的结果.
- 这些发现支持实施综合护理模型,以优化关节骨折患者管理.
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