脆弱性作为快速响应电话中的护理目标讨论的触发因素:一个单一中心的回顾性队列研究
Deb Sharp1, Dean McKenzie2, Laven Padayachee3
1Department of Intensive Care, Epworth HealthCare, Richmond, Victoria, Australia; Department of Medicine, Nursing and Health Sciences, School of Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia; Department of Intensive Care, Frankston Hospital, Peninsula Health, Frankston, Victoria, Australia; Department of Intensive Care, Victorian Heart Hospital, Monash Health, Clayton, Victoria, Australia.
概括
在快速响应电话中发现的脆弱性可靠地触发了护理目标讨论. 临床脆弱度表得分为5或更高表明需要积极的终生规划.
科学领域:
- 老年医学 老年医学
- 抚慰性护理是一种缓解性护理.
- 医院 医院 医疗 医疗 医疗 医疗
背景情况:
- 关怀目标 (GOC) 讨论对于终身规划至关重要,特别是在急性住院期间.
- 衰弱在老年人中很常见,并影响健康结果,需要将治疗与生活质量保持一致.
- 在快速响应呼叫 (RRC) 期间识别脆弱性可以优化资源使用和患者护理.
研究的目的:
- 确定在RRC期间通过临床脆弱性量表 (CFS) 评估的脆弱性是否可以引发中国政府的讨论.
- 为了确定患有RRCs的患者的脆弱性 (CFS得分≥5) 的患病率.
- 在RRC期间,在脆弱患者中找到中国政府建议的预测因素.
主要方法:
- 一个单一中心的回顾性队列研究,对65岁以上经历RRC的住院患者进行了研究.
- 在RRCs期间使用临床脆弱度表 (CFS) 评估的脆弱性.
- 基于脆弱程度和相关预测指标的中国政府推率的分析.
主要成果:
- 4954名患者中有34.0%的身体虚弱 (CFS得分≥5).
- 中国政府的建议随着脆弱的严重程度而增加 (不脆弱的6.6%,中度至重度脆弱的32.2%)
- 脆弱性 (CFS ≥5) 独立地预测了GOC建议 (AUC=0.71),轻度 (OR=2.53) 和中度至重度脆弱的患者的几率明显更高 (OR=4.69).
结论:
- 在RRC期间发现的脆弱性是启动中国政府讨论的强有力的指标.
- 在患者病情恶化之前,积极的中国政府讨论至关重要.
- CFS分数≥5作为一个实用的临床标记,可引发中国政府及时讨论.
关键词:
临床脆弱度量表 临床脆弱度量表生命周期结束时的决策脆弱性 脆弱性 脆弱性护理的目标 护理的目标医疗应急团队; 医疗应急团队; 医疗应急团队; 医疗应急团队;以患者为中心的护理.快速响应呼叫需要快速响应.更多相关视频
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