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在急性医院环境中标准化认知障碍的识别:走向一种共同的语言

Erin Sim¹, Kelly Casey², Annette Lavezza³

¹Erin Sim, OTD, OTR/L, PMP, is Team Coordinator, Acute Care Therapy Department, Johns Hopkins Hospital, Baltimore, MD; erin.sim3865@gmail.com.

The American journal of occupational therapy : official publication of the American Occupational Therapy Association

|October 15, 2024

概括

应用认知住院患者短形式"6-点击" (AM-PAC ACISF) 后急性护理活动指标显示,护士和治疗师之间具有良好的interrater可靠性. 该工具有助于早期识别认知障碍,以改善患者护理和出院计划.

科学领域:

康复医学康复医学康复医学
神经科学是一个神经科学.
改善医疗保健质量改善医疗保健质量

背景情况:

医院缺乏标准化的认知障碍查,这阻碍了早期识别和干预.
治疗后急性护理应用认知住院患者简短形式"6-点击" (AM-PAC ACISF) 的活动措施在治疗师中表现出可靠性,但在护士中没有.
建立跨专业的可靠性对于一致的患者评估和护理协调至关重要.

研究的目的:

评估AM-PAC ACISF在急性护理环境中的护士和治疗师之间的评分器间可靠性.
确定AM-PAC ACISF是否可以被跨学科团队可靠地用于认知障碍查.
评估AM-PAC ACISF在促进早期识别和管理认知缺陷方面的潜力.

主要方法:

使用方便样本进行前性研究设计.
涉及50名在急性护理医院环境中的成年患者.
在六名护士,五名职业治疗师和一名语音语言病理学家中评估了AM-PAC ACISF的可靠性.

主要成果:

在AM-PAC ACISF中,护士和治疗师之间的interrater可靠性很好.
在AM-PAC ACISF中报告了0.88 (95% CI [.79, .93]) 的类内相关系数.
可靠性表明在不同的专业学科中得分一致.

结论:

美国太平洋地区ACISF是急性护理机构跨学科团队的可靠工具.
它的使用可以为早期识别认知障碍建立一个共同的语言.
美国-太平洋ACISF支持临床讨论,并指导与认知功能相关的患者护理.

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