痴呆症患者和护理人员的过渡护理在ADRD-PC试验中:一种混合方法研究
Mark Toles1, Ellen Ozier2, Laura Briell3
1School of Nursing (M.T., M.F.), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Journal of pain and symptom management
|July 31, 2024
概括
对阿尔茨海默病和相关痴呆症 (ADRD) 患者的高质量过渡护理需要足够的资源和人员培训,以确保护理的连续性和护理人员在护理过渡期间的支持.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 神经学 神经学
背景情况:
- 晚期阿尔茨海默病和相关痴呆症 (ADRD) 患者面临严重的后急性并发症和再入院的风险.
- 对ADRD患者的医院过渡期护理的研究仍然有限,突出了理解和实践的关键差距.
研究的目的:
- 描述ADRD-PC临床试验中为ADRD患者提供过渡性护理的内容和质量.
- 确定影响过渡期护理对这一群体有效性的挑战和促进者.
主要方法:
- 采用了一种描述性的混合方法方法,整合了从追溯图表审查中获得的数据.
- 在ADRD-PC临床试验中,采访了参与过渡期护理的息护理社会工作者和护士.
主要成果:
- 73%的患者记录了息护理计划,98%的护理人员在出院后72小时内拨打了电话.
- 退院后护理的关键组成部分包括促进连续性,资源识别,护理人员支持,问题解决和悲伤支持.
- 挑战包括护理人员参与和教育的时间有限,转移后的护理协调,以及社区ADRD资源的稀缺性. 促进者包括员工连续性,护理人员对护理目标的理解以及可访问的资源.
结论:
- 当医疗人员拥有足够的资源,包括专门的ADRD培训和护理规划工具时,就能获得高质量的痴呆特异性过渡性护理.
- 有效的过渡期护理包括将医院息护理计划扩展到出院后的环境,将计划适应新情况,并管理护理人员的压力和悲伤.
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