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评估患者与工作人员互动对睡眠机会的影响,使用电子健康记录
Sullafa Kadura1,2, Lisa Pink1, Diego R Mazzotti3,4
1University of Rochester Health Lab, Rochester, New York, USA.
Journal of hospital medicine
|December 5, 2024
概括
患者与工作人员的互动 (PSI) 经常在住院的神经病患者中扰乱睡眠. 电子健康记录显示,虽然生命体征和药物是常见的,但神经检查和非单位检测最显著地减少了睡眠机会.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 睡眠医学 睡眠医学
- 患者体验 患者体验
背景情况:
- 住院患者经常经历睡眠障碍.
- 夜间患者与工作人员的互动 (PSI) 是睡眠障碍的主要原因.
- 这项研究的重点是神经病学住院患者.
研究的目的:
- 开发一种方法来量化和可视化PSI对住院患者睡眠机会的影响.
- 为了利用时间标记的电子健康记录 (EHR) 数据进行睡眠分析.
- 引入睡眠的替代措施:最长的不间断睡眠机会 (LUSO) 和中断性情节.
主要方法:
- 对住院神经病科病房3305个患者夜晚的分析.
- 将PSI分为六种类型 (生命体征,神经检查,药物管理,床边诊断测试,单位外诊断测试,床位更换).
- 用线性混合模型进行统计分析,计算LUSO和中断发作.
主要成果:
- 在92%的患者夜间发生了PSI,平均2.81次中断性发作和4.06小时的LUSO.
- 生命体征和药物管理是最常见的PSI.
- 神经学检查和单位以外的诊断测试与LUSO最大的减少有关 (约. 40分钟) 的时间.
结论:
- LUSO和中断性情节是基于EHR的有效措施,用于将PSI与睡眠机会联系起来.
- 神经学检查和单位外测试对减少LUSO的影响最大.
- 结果表明缺乏PSI捆绑,并突出了PSI扰乱睡眠的不同方式,支持对评估和解决睡眠障碍的方法的使用.
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