为住院患者开发和评估一个简洁的护士驱动的非药物狂妄症减少工作流程:一个中断的时间序列研究
James D Harrison1, Megan Rathfon2, Sasha Binford3
1Division of Hospital Medicine, University of California San Francisco, San Francisco, CA, USA.
Geriatric nursing (New York, N.Y.)
|November 13, 2023
概括
一个新的护士驱动的迷妄减缓工作流程最初降低了住院成人的迷妄率. 然而,在COVID-19流行病爆发后,对减轻妄想的积极影响并没有持续.
科学领域:
- 护理 护理 护理
- 老年学是一门学科.
- 医院 医院 医疗 医疗 医疗 医疗
背景情况:
- 痴呆症是住院成年人的常见并发症,与不良结果有关.
- 目前的妄想症管理策略需要改进,以获得持续的疗效.
研究的目的:
- 开发和评估一个由护士驱动的妄想减缓工作流程.
- 评估工作流对妄想率和停留时间的影响.
主要方法:
- 从2017年6月到2022年5月,采用了一个中断时间序列研究设计.
- 工作流包括基于证据的"日出"和"倒闭"干预措施.
- 干预忠实度每天监测两次,没有患者中断.
主要成果:
- 护士驱动的工作流是可行的实施和监控.
- 最初,人们观察到妄率的显著降低.
- 逗留时间没有显著减少,狂妄症率的减少在COVID-19大流行后没有持续.
结论:
- 护士驱动的妄想减缓工作流程在减少妄想方面初步表现有希望.
- 持续实施需要克服挑战的策略,特别是在COVID-19流行病等公共卫生危机期间.
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