患者,护理人员和专业人士对老年患者可预防的紧急住院的看法,这是一项在荷兰三家医院进行的多方法研究
Steef van den Broek1,2, Ozcan Sir3, Dennis Barten4
1Emergency Department, CWZ, P.O. Box 9015, Nijmegen, 6500 GS, The Netherlands. S.vandenbroek@cwz.nl.
BMC geriatrics
|August 10, 2024
概括
从急诊室 (ED) 入院的老年人中,近10%可能不需要医院护理. 患者和医生对可预防性的看法不同,突出了社区支持和护理协调方面的问题.
科学领域:
- 老年学是一门学科.
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年人经常从急诊室 (ED) 经历可能可以预防的住院治疗.
- 关于这些可预防的紧急住院 (PEAs) 的发生率和原因的知识有限.
研究的目的:
- 确定PEA在老年人中被录取到ED中的比例.
- 评估患者和医生之间关于可预防性的协议.
- 探索患者和医生认为的PEA的原因.
主要方法:
- 多中心,多方法研究,涉及70岁以上的患者从ED入院.
- 关于患者/临床特征和感知可预防性的定量数据收集.
- 与患者/护理人员进行半结构化采访,与医生进行电话/电子邮件采访.
- 定性数据的主题内容分析.
主要成果:
- 7.2%的入院被患者/护理人员认为是可以预防的;医生认为9.7%是可以预防的.
- 在患者和医生对可预防性的看法之间发现了较低的一致性 (科恩的卡帕=0.10).
- 关键的感知原因包括家庭支持不足,社区护理不足,医院错误,ED呈现时间,寻求帮助的延迟和患者错误.
结论:
- 患者,护理人员和医疗保健提供者认为,有很大比例的老年ED入院是不必要的.
- 患者的观点为PEA的多方面的原因提供了宝贵的见解.
- 患者和医生之间感知到的可预防性的差异需要进一步调查.
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