关于75岁或以上老年人疼痛管理的信息模型
Ana Clara de Brito Cruz1,2, Amália de Fátima Lucena1,3, Aline Tsuma Gaedke Nomura1,4,5
1Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Porto Alegre, RS, Brazil.
Revista latino-americana de enfermagem
|October 30, 2024
概括
这项研究开发了一种用于住院老年人疼痛管理的信息模型. 该模型突出了关键领域,如疼痛评估,干预措施和弱势老年患者的重新评估.
科学领域:
- 老年学是一门学科.
- 医疗信息学 医疗信息学
- 护理科学 护理科学
背景情况:
- 住院老年人的疼痛管理是复杂的,有各种护理干预措施.
- 目前的实践显示,重点是疼痛评估和药理干预.
- 发现缺乏多维疼痛评估工具和不一致的护理措施.
研究的目的:
- 开发一个全面的信息模型来治疗住院老年人的疼痛.
- 为弱势老年人群提供关于疼痛护理现实的结构化概述.
- 支持基于证据的决策,以优化疼痛管理策略.
主要方法:
- 一个大数据回顾和观察性研究,利用应用医疗数据科学路线图.
- 对75岁及以上的患者电子健康记录 (EHR) 的分析,这些患者被确定为脆弱.
- 利用Python数据科学包进行9,635例住院病人的数据分析.
主要成果:
- 确定了60个与疼痛相关的属性,分为关键组:当前疼痛,评估,护理诊断,干预和重新评估.
- 开发的信息模型包括四个主要面板,整合了不同的疼痛管理方面.
- 住院的老年人经常接受疼痛治疗干预措施,特别是那些有跌倒风险的人.
结论:
- 创建的信息模型提供了对脆弱老年患者疼痛管理的整体观点.
- 该模型可以显著帮助医疗保健专业人员为这一人口群做出明智的决策.
- 进一步的研究可能会从探索多维评估工具的整合中受益.
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