在急诊室进行 Delirium 查:评估和干预
Tehilah Meged-Book1,2, Reut Frenkel3, Anna Nikonov4
1Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer- Sheva, Israel. tehilah.meged@gmail.com.
Israel journal of health policy research
|April 2, 2024
概括
老年人痴呆症在急诊室 (ED) 经常被忽视. 一项研究发现,即使开展了宣传活动,诊断率仍然很低,这凸显了强制性查的必要性.
科学领域:
- 老年病的医生 老年病的医生
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
背景情况:
- 痴呆症影响到急诊部 (ED) 的8-17%的老年人,在养老院的老年人中,这种情况的发生率更高.
- 这些妄想病例的很大一部分仍未被ED医务人员诊断出来.
研究的目的:
- 调查进入ED的老年人 Delirium 的流行情况.
- 评估一项前性研究的影响,旨在提高ED工作人员的妄想意识.
主要方法:
- 该研究包括四个阶段:干预前,宣传活动,专门的评估者查和干预后.
- 痴呆症查使用了简要混评估方法 (bCAM) 调查问卷,用于65岁及以上的患者.
主要成果:
- ED工作人员的 Delirium 诊断率在介入前和介入后都低于 1%.
- 专门的评估人员发现了14.9%的妄想率,明显高于ED工作人员的诊断 (1.6-1.9%).
- 在专门的评估人员离开后,诊断率恢复到基线.
结论:
- 大多数老年痴呆病例都被ED工作人员错过了.
- 仅仅是宣传活动并没有显著提高诊断率.
- 在ED分拣和患者停留期间,强制性妄想查是必不可少的.
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