在一般病房和急诊室的老年患者中 Delirium 风险查和评估:一个最佳实践实施项目
Laura Lafarga-Molina1,2, Laura Albornos-Muñoz2,3,4, Esther González-María2,3,5
1Hospital Univesitario Miguel Servet, Zaragoza, Spain.
JBI evidence implementation
|November 20, 2023
概括
该项目通过实施基于证据的标准,改善了老年患者的妄想评估. 整合电子健康记录提高了妄想的检测和遵守护理标准.
科学领域:
- 老年医学 老年医学
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 痴呆症影响超过50%的老年住院患者.
- 有证据表明,导向方案可以降低老年人痴呆症的发生率.
- 实施标准化方案对于管理老年患者的妄想至关重要.
研究的目的:
- 加强对基于证据的狂妄症风险评估和管理协议的遵守.
- 改善患有妄想症的老年患者的鉴定和护理.
- 为了减少一般医院病房和急诊室 Delirium 的发生率.
主要方法:
- 使用了乔安娜·布里格斯研究所 (JBI) 的证据实施框架.
- 对每位50名患者进行了基线,中间和最终审计.
- 评估了对妄管理的八个基于证据的标准的符合性.
主要成果:
- 一般病房在压力损伤查 (96%),监测变化 (74%) 和干预 (76%) 中实现了>50%的合规性.
- 紧急服务部门对护士训练狂妄症的遵守率很高 (98%).
- 电子医疗记录的整合增加了痴呆度量表的使用和检测,从一般病房的0%增加到32%.
结论:
- 基于证据的评估支持护士在管理妄想.
- 实施经过验证的工具有助于减少患者的困惑和攻击性.
- 标准化的护理协议对于老年人有效的妄想管理至关重要.
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