揭露痴呆症:CAM-ICU工具对改善护理协调的影响
Theresa Savino1,2,3,4, Franz H Vergara1,2,3,4, Mary Dioise Ramos1,2,3,4
1Theresa Savino, DNP, RN, CPHQ, CPXP, FNAHQ, is Director of Service Excellence and Patient Experience at Middlesex Health, Middletown, Connecticut. She is also an adjunct nursing faculty member at the University of Connecticut.
Professional case management
|February 29, 2024
概括
在重症监护室 (CCU) 早期检测狂妄症,使用重症监护室 (CAM-ICU) 混评估方法工具,减少了患者住院时间和家庭护理利用率. 这一框架改善了重症患者的治疗结果.
科学领域:
- 临界护理医学 临界护理医学
- 护理研究 护理研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 痴呆症是重症监护病房 (CCU) 的重要并发症,可能会延长住院时间并影响患者的治疗结果.
- 在CCU中缺乏标准化妄评估框架,这可能会阻碍有效的患者管理和出院规划.
研究的目的:
- 为社区医院重症监护室 (CCU) 早期妄检测实施和评估"重症监护室混评估方法" (CAM-ICU) 工具的影响.
- 评估CAM-ICU实施对患者住院时间 (LOS) 和家庭护理利用率的影响.
主要方法:
- 采用了一个仅用于测试后的设计.
- 护士在CAM-ICU工具上接受了教育和培训,以评估妄想.
- 与信息学,密集治疗师,护理,呼吸治疗和病例管理的合作促进了CAM-ICU的部署.
- 统计分析包括LOS的独立t测试和与家庭护理利用的奇平方测试的交叉表格.
主要成果:
- 实施CAM-ICU工具导致停留时间 (LOS) 减少了3.12%.
- 观察到家庭护理服务使用率的统计显著下降 (p = .001),干预组的37.5%,比较组的62.5%.
结论:
- 使用CAM-ICU工具早期识别妄症可以对重症患者的结果产生积极影响.
- 多学科合作对于有效的妄想管理和改善护理过渡至关重要.
- 病例经理在护理过渡中发挥着至关重要的作用,必须熟练使用CAM-ICU等工具并理解其影响.
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