在住院老年患者中认知功能障碍的识别:一项闪光集团研究
Fleur C W Visser1, Marlise E A van Eersel2, Liesbeth Hempenius3
1Department of Geriatric Medicine and Alzheimer Center Groningen, University of Groningen, University Medical Center Groningen, 9700 RB, Groningen, AA43, The Netherlands. f.c.w.visser@umcg.nl.
BMC geriatrics
|January 16, 2024
概括
认知功能障碍在老年医院患者中很常见,但经常被医疗保健专业人员错过. 提高识别能力至关重要,特别是对于那些有微妙认知障碍的人来说.
科学领域:
- 老年医学 老年医学
- 神经学 神经学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 认知功能障碍严重影响住院的老年患者,需要专门的护理.
- 医疗保健专业人员在这个人口群体中对认知功能障碍的认识和认知程度较低.
- 有效的管理需要早期识别老年住院患者的认知障碍.
研究的目的:
- 为了确定住院老年患者认知功能障碍的患病率.
- 评估医疗保健专业人员识别认知功能障碍的速度.
- 识别与认知功能障碍的认知相关的因素.
主要方法:
- 在荷兰的13家医院进行了一项多中心,全国性,横截面的观察性研究.
- 在65岁及以上的患者中,使用Mini-Cog测试评估认知功能 (得分<3表示功能障碍).
- 护士和医生报告了可疑的认知功能障碍;后勤回归分析了相关变量.
主要成果:
- 在757名患者中,有46% (347) 患者表现出认知功能障碍.
- 识别率很低:42%的护士和48%的医生.
- 在Mini-Cog得分较低时,识别能力得到改善,特别是在老年病房部门.
结论:
- 认知功能障碍在住院的老年人中非常普遍,并且经常被忽视.
- 迫切需要加强医疗保健提供者对认知功能障碍的认知.
- 针对认知功能障碍的量身定制护理可能会使所有住院的老年患者受益.
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