医疗保健团队干预措施,以减少老年人的痛苦行为:一个系统审查
Katherine Ramos1,2,3,4,5,6, Megan Shepherd-Banigan1,2,7,8, Cara McDermott2,3,4,5
1Durham Evidence Synthesis Program (ESP) Center, Durham VA Health Care System, Durham, NC, USA.
Clinical gerontologist
|July 2, 2024
概括
综合人员培训和患者管理的新型医疗保健模式显著提高了老年人的生活质量,并减少了抗精神病药物的使用. 需要进一步的研究来评估员工倦怠和医疗保健利用率.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 行为健康 行为健康
背景情况:
- 在长期护理机构的老年人中,持久或反复的痛苦行为很常见.
- 对这些行为进行有效的管理策略对于改善患者的福祉和生活质量至关重要.
研究的目的:
- 审查医疗保健团队专注的干预措施,以管理老年人的痛苦行为.
- 为医疗保健工作者 (HCWs) 确定有效的策略来管理患者的痛苦.
主要方法:
- 2002年12月至2022年12月发表的随机试验的系统综述.
- 在Ovid MEDLINE,Embase和PsycINFO数据库中进行了搜索.
- 包括29个随机试验,重点关注HCW知识,技能和干预措施.
主要成果:
- 结合HCW培训和患者管理的干预措施显示,生活质量显著改善 (SMD=0.71) 和减少抗精神病药物的使用 (OR=0.79).
- 专注于HCW的干预措施提供了短期的痛苦行为减少,但并没有持续改善生活质量或减少抗精神病药物的使用.
- 面向患者的干预措施对激动有不同的结果,对生活质量没有影响.
结论:
- 将员工培训和患者管理相结合的综合医疗保健模型是有效的.
- 这些新型模型改善了患者的生活质量,并减少了抗精神病药物的使用.
- 需要对员工倦怠和医疗保健利用影响进行进一步评估.
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