改善与艾滋病毒老龄化的人的护理:一种协作质量改进方法
Daniel Belanger1, John Wikiera1, Marz Albarran2
1New York State Department of Health AIDS Institute, Albany, NY, USA.
艾滋病毒感染的老年人经常面临功能障碍. 纽约的一个试点项目使用修改的老年人综合照顾 (ICOPE) 工具改善了这些问题的查,提高了护理质量.
科学领域:
- 老年病的医生 老年病的医生
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在纽约州,近60%的艾滋病毒感染者年龄超过50岁.
- 携带艾滋病毒的老龄化带来了独特的挑战,包括功能障碍.
- 现有的护理模式可能无法充分满足艾滋病毒感染的老年人的需求.
研究的目的:
- 制定和实施全州质量改善项目,以加强艾滋病毒感染的老年人功能障碍的查.
- 适应和试点世界卫生组织的老年人综合护理 (ICOPE) 本质能力选这个人群.
主要方法:
- 在纽约的13个临床和非临床场所试用了经过修改的ICOPE屏幕.
- 使用短周期变化测试来评估查结果.
- 收集了关于查资格,完成率和转诊模式的数据.
主要成果:
- 在1629名符合条件的个人中,有638人接受了查,揭示了显著的需求.
- 阳性查范围从17%的听力查到49%的视力障碍查.
- 推率很低 (11%用于记忆/营养),听力损失是推率最高的27%).
结论:
- 经过修改的ICOPE屏幕有效地识别了艾滋病毒感染者老化的功能障碍.
- 利益相关者之间的合作,包括有实践经验的人,对于改善护理至关重要.
- 试点项目证明了成功实施和持续使用查工具,导致过程变化和改善护理质量.
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