探索内部医疗住院人员和老年患者之间关于跌倒风险和预防的沟通:需要评估
Mary L Thomas1, Uchenna Anunobi1, Christopher D Jackson1
1From the University of Tennessee Health Science Center, Memphis, Department of Internal Medicine, Memphis, Tennessee.
Southern medical journal
|February 2, 2024
概括
大多数老年患者都会与住院医生讨论跌倒风险,但医生通常会发起这些对话. 障碍物包括居民的遗忘和缺乏知识,这表明需要更好的培训和提醒.
科学领域:
- 老年病的医生 老年病的医生
- 内部医学教育教育 内部医学教育
- 患者安全 患者安全
背景情况:
- 跌倒是老年患者受伤和死亡的主要原因.
- 医疗学员需要熟练掌握老年医学评估,包括跌倒风险.
- 内部医学 (IM) 住院医生与老年患者开始秋季讨论的研究不足.
研究的目的:
- 为了确定谁最常在IM住院人员和老年患者之间发起秋季风险讨论.
- 探索居民在讨论跌倒风险时遇到的障碍.
- 为改进防摔教育和实践的策略提供信息.
主要方法:
- 一个2023年量化需求评估.
- 对门诊老年患者,IM住院医生和主治医生进行的调查.
- 利用疾病预防控制中心的停止老年人事故,死亡和伤害 (STEADI) 评估来评估跌倒风险.
主要成果:
- 在被评估的老年患者中,51% (n=39) 患有跌倒风险.
- 87%的患者报告了秋季讨论,其中59%是由住院人员发起的.
- 居民 (75%) 很少发起讨论,而护理人员 (100%) 经常这样做.
结论:
- 患者和医生之间在启动秋季讨论时存在差异.
- 临床医生在启动这些关键对话方面发挥着关键作用.
- 提醒系统和增强的教学课程可以改善居民主导的秋季讨论.
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