在急性病后的护理中预防妄想
The Nurse practitioner
|September 24, 2024
概括
由执业护士 (NP) 领导的一项新协议成功地预防了熟练护理机构 (SNF) 的新发狂妄症. 这项质量改进项目突出了国家医疗机构在老年护理和痴呆症预防方面的关键作用.
科学领域:
- 老年医学 老年医学
- 提高质量 提高科学 提高质量
- 护理实践 护理实践
背景情况:
- 在急性后护理中的老年人往往是脆弱的,有多种并发病,增加了他们对妄想的脆弱性.
- 在这个人群中,妄想会导致不良结果,包括更长的住院时间和增加的死亡率.
- 有效的预防策略对于改善熟练护理机构的患者安全和护理质量至关重要.
研究的目的:
- 开发,实施和评估一个以证据为基础的妄想预防协议.
- 评估该协议对熟练护理机构新发狂妄病发病率的影响.
- 探索执业护士 (NP) 在领导狂妄症预防倡议中的作用.
主要方法:
- 在熟练护理机构 (SNF) 进行了一项质量改进项目.
- 实施了一项以NP为主导,基于证据的妄想预防协议.
- 新发狂妄的发病率在议定书实施前和之后进行了测量.
主要成果:
- 在实施NP-led协议后,没有患者被诊断患有新发 Delirium.
- 护士和认证护士助理报告了他们与妄预防相关的实践中的积极变化.
- 该研究表明了NP主导干预的可行性和有效性.
结论:
- 以NP为主导的,基于证据的妄预防方案可以有效地消除SNF患者的新发妄.
- 国家护理人员处于有利地位,能够领导熟练的护理机构实施和维持妄想预防计划.
- 这种护理模式对改善老年患者的治疗结果和降低医疗保健成本有重大影响.
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