在协调为痴呆症患者提供护理方面存在差距
Lisa M Kern1, Catherine Riffin1, Veerawat Phongtankuel1
1Weill Cornell Medicine, New York, New York, USA.
Journal of the American Geriatrics Society
|July 29, 2024
概括
对于痴呆症患者 (PLWD) 来说,分散的护理是常见的. 超过一半的人报告了护理协调差距,18%的人因协调不良而经历不良事件,突出显著的风险.
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
- 神经学 神经学
背景情况:
- 三分之一的痴呆症患者 (PLWD) 经历高度分散的护理.
- 分散的护理涉及许多门诊提供者,没有主要协调医生.
- 分散护理对PLWD的沟通缺口和不良事件的影响尚不清楚.
研究的目的:
- 确定PLWD提供者之间感知到的沟通缺口的频率.
- 评估这些差距是否被视为小问题或临床上重大问题.
- 确定与护理协调不良相关的自我报告不良事件的频率.
主要方法:
- 在纽约的医疗保险负责任护理组织 (ACO) 中进行的横截面研究 (2022-2023年).
- 在护理管理试验中,包括具有分散护理的PLWD (反向Bice-Boxerman指数≥0.86).
- 使用通过电话管理的调查仪器来评估护理协调感知和不良事件 (重复测试,药物相互作用,急救诊所,住院).
主要成果:
- 在167名符合条件的PLWD (58.1%) 中,有97人完成了调查.
- 在分析的88名参与者中,57%报告了护理协调方面的差距.
- 另外,有18%的人报告了因护理协调不良而导致的不良事件.
结论:
- 经常报告,痴呆症患者的护理协调存在差距.
- 这些协调问题往往被认为是危险的,表明临床意义.
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