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在CKD护理中的老年评估:一项实施研究
Carlijn G N Voorend1, Noeleen C Berkhout-Byrne1, Leti van Bodegom-Vos2
1Department of Internal Medicine (Nephrology), Leiden University Medical Center, Leiden, The Netherlands.
Kidney medicine
|April 25, 2024
概括
老年人评估成功地被整合到慢性病 (CKD) 对老年人的护理中. 医疗保健专业人员发现,尽管有时间限制和患者负担等障碍,但评估仍然很重要.
科学领域:
- 老年医学 老年医学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 实施科学 实施科学
背景情况:
- 患有进展性慢性病 (CKD) 的老年人有复杂的需求.
- 指导方针建议在决定脏置换之前进行老年评估,但很少实施.
- 缺乏常规的老年医疗评估,阻碍了对老年CKD患者的最佳护理.
研究的目的:
- 评估针对CKD护理量身定制的老年病评估的实施情况.
- 评估老年人评估在常规科实践中的可行性和感知相关性.
- 识别促进者和障碍者,将老年评估纳入CKD患者管理中的障碍.
主要方法:
- 在荷兰的脏病中心进行了一项混合方法实施研究.
- 基于共识的,针对脏学量身定制的老年病患评估,对70岁以上的患者实施,其eGFR ≤20 mL/min/1.73 m2.
- 通过对感知到的推动者,障碍,工作常规整合和仪器相关性的调查来评估实施情况.
主要成果:
- 在10个中心实施了老年医疗评估,达到191名患者.
- 多学科合作和护士主导的评估促进了实施.
- 障碍包括患者的文盲,语言障碍,时间限制和患者负担.
- 专业人士对融入工作例程 (6.7/10) 和相关性 (7.8/10) 的评价都很好.
- 临床脆弱性评分和蒙特利尔认知评估被认为是最相关的.
结论:
- 老年人评估可以成功地整合到患有慢性病的老年人的护理中.
- 实施的评估被医疗保健专业人士认为是相关的.
- 解决已识别的障碍对于更广泛,更有效的实施至关重要.
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