面向老年友好型医院:对计划,其要素和改善护理效果的概述
Kira Scheerman1,2, Julio R Klaverweide3, Carel G M Meskers4,5
1Department of Internal Medicine, Section of Gerontology and Geriatrics, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands, k.scheerman@amsterdamumc.nl.
Gerontology
|September 24, 2024
概括
对老年人友好的医院计划旨在改善对老年人的护理. 然而,证据证明它们的有效性是有限的,只有一个程序显示了积极的结果.
科学领域:
- 老年医学 老年医学
- 改善医疗保健质量 改善医疗保健质量
- 医院管理局 医院管理局
背景情况:
- 住院的老年人面临负面健康结果的风险.
- 高龄友好型医院 (SFH) 计划旨在减轻这些风险.
- 这些计划旨在提高老年患者的护理质量和患者满意度.
研究的目的:
- 审查已发布的SFH程序及其组成部分.
- 总结有关SFH计划对护理质量和患者满意度的影响的证据.
- 在不同的SFH倡议中确定共同的元素.
主要方法:
- 进行了SFH计划的叙事审查.
- 数据库 (PubMed/MEDLINE) 和相关网站被搜索到2023年7月.
- 纳入标准侧重于60岁以上成年人全医院的多层次计划及其对护理质量或满意度的影响.
主要成果:
- 确定了十个SFH项目,共享诸如"组织支持"和"物理环境"等元素.
- 美国的"老年急性护理" (ACE) 计划对功能能力,跌倒,妄想,停留时间和患者满意度产生了积极影响.
- 没有发现其他已识别的SFH计划的有效性证据.
结论:
- 医院老年人保健计划包含了那些有潜力改善住院老年人的护理的要素.
- 目前支持大多数SFH计划有效性的证据很少.
- 需要进一步的研究来验证各种SFH程序组件的好处.
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