为患有急性烧伤的老年人实施老年护理套餐
Julia Oehlers1, Carolyn Blayney2, Jo Tate2
1John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA.
概括
老年烧伤包 (Geri-B) 通过标准化老年烧伤协议,改善了老年烧伤患者的护理. 实施被认为是有价值的,查率高,尽管整合挑战仍然存在.
科学领域:
- 老年医学 老年医学
- 烧伤护理 烧伤护理
- 提高质量 提高质量
背景情况:
- 烧伤的老年人 (≥65岁) 面临着由于虚弱和并发症而面临的独特挑战.
- 一个老年烧伤捆绑 (Geri-B) 被实施,以标准化为这一群体的专业护理.
- Geri-B 组件包括脆弱性查,老年共同管理,营养支持和量身定制的疼痛管理.
研究的目的:
- 通过使用Proctor框架,对老年烧伤包 (Geri-B) 的实施进行定性评估.
- 评估提供者和患者对Geri-B有效性和实施障碍的看法.
- 为了监测老年烧伤患者的脆弱查完成率.
主要方法:
- 使用调查和采访提供者和患者进行定性评估.
- 对转录的采访进行主题分析.
- 在16个月的时间内,对65岁以上患者的住院虚弱查率的监测.
主要成果:
- 在各个实施领域,Geri-B的参与者评分很高.
- 医疗服务提供者将Geri-B视为对定制老年护理的提醒,以及对不合格护理的保障.
- 工作人员短缺和培训不足被认为是障碍;建议将电子健康记录整合起来. 脆弱性查完成率平均为86%.
结论:
- 老年烧伤包 (Geri-B) 被认为是改善老年烧伤患者护理的有价值框架.
- Geri-B可以作为其他燃烧中心的典范,旨在加强老年护理.
- 解决实施障碍,如EHR整合,对于更广泛的采用至关重要.
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