开发一项复杂的干预措施,通过优化出院和转移过程,并涉及护理人员来预防老年住院患者的妄想:一项多方法研究
Natascha-Elisabeth Denninger1, Simone Brefka2, Stefanie Skudlik3
1Rosenheim Technical University of Applied Sciences, Centre for Research, Development and Technology Transfer, Rosenheim, Germany; Martin Luther University Halle-Wittenberg, International Graduate Academy, Institute for Health and Nursing Science, Medical Faculty, Halle (Saale), Germany; Heidelberg University, Medical Faculty Heidelberg, Department of Primary Care and Health Services Research, Nursing Science and Interprofessional Care, Heidelberg, Germany; University Hospital Heidelberg, Department of Primary Care and Health Services Research, Nursing Science and Interprofessional Care, Heidelberg, Germany.
这项研究开发了一个8点计划,通过优化过渡和涉及护理人员来预防老年住院患者的妄想. 该干预旨在通过结构化建议和培训来减少不利结果.
科学领域:
- 老年医学 老年医学
- 患者安全 患者安全
- 医疗保健服务研究 医疗服务研究
背景情况:
- 痴呆症是老年住院患者经常出现的并发症,与不良结果有关.
- 环境因素和医院过渡可能会加剧妄想.
- 现有的研究往往侧重于医院内的风险因素和重定向.
研究的目的:
- 系统地开发一种复杂的干预措施,以预防老年人的妄想症.
- 优化出院和转移流程,让护理人员参与其中.
- 为开发使用MRC框架的复杂干预提供指导.
主要方法:
- 一项多方法研究,包括重点小组,专家研讨会和Delphi调查.
- 代开发涉及医疗保健专业人员,专家和患者/护理人员代表.
- 使用逻辑模型的程序理论开发.
主要成果:
- 为护理人员创建了一个8点计划,为过渡和出院后痴呆症预防提供建议.
- 实施策略包括信息材料,专业培训,以及对守门员和冠军的定义角色.
- 这项干预措施是通过一个协作,代的过程来开发的.
结论:
- 这项研究示范了开发一种复杂的干预措施,以预防妄想.
- 计划进一步调查干预和实施战略的可行性和可接受性.
- 优化医院过渡和护理人员参与是预防老年患者妄的关键.
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