认知衰退对医疗结果和护理工作量的影响:一项回顾性队列研究
Takashi Iwaanakuchi1, Takuma Yoshida2, Yukari Fukuda3
1Department of Medical Informatics, Kagoshima University Hospital, Kagoshima City, Japan.
PloS one
|November 22, 2023
概括
护士可以识别认知衰退,影响患者的结果和工作量,类似于被诊断为痴呆症. 这一发现支持开发用于早期干预和改善医院护理的临床决策支持系统.
科学领域:
- 老年学是指老年学的学科.
- 护理信息学 护理信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 关于痴呆症对医疗结果和护理工作量的影响的定量数据有限.
- 护士的评估可能会发现认知能力下降,但它们的临床意义需要进一步调查.
研究的目的:
- 为了确定是否护士认定的认知衰退会影响医疗结果和护理工作量,与被诊断为痴呆症相比.
- 开发和验证对身体限制需求,护理工作量和记录数量的预测模型.
主要方法:
- 用电子病历数据对43330名住院患者 (年龄≥40) 进行了回顾性队列研究.
- 统计分析包括千平方,韦尔奇的t测试,逻辑和线性回归.
- 开发和验证预测模型的限制,工作负载和记录量.
主要成果:
- 被护士认定为认知衰退的患者表现出明显更高的身体克制和出院支持率.
- 对护士认知能力下降的结果和工作量的影响与被诊断为痴呆症相当.
- 预测模型证明了效用,对护理和记录体积的相关系数为0.5-0.6.
结论:
- 护士评估对于识别认知能力下降的患者是有价值的,反映了被诊断为痴呆症对结果和工作量的影响.
- 结合护士评估和患者数据的预测模型可以有效地估计护理工作量.
- 这些发现为临床决策支持系统提供了基础,以改善早期干预和护理服务.
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