警报系统的可行性和家庭护理合作伙伴的支持,以预防手术后痴呆症
Phillip E Vlisides1,2, Nathan Runstadler1, Selena Martinez1
1Department of Anesthesiology, Michigan Medicine, Ann Arbor, MI.
Journal of neurosurgical anesthesiology
|December 19, 2024
概括
对医院老年人生活计划 (HELP) 的术后呼叫器提醒显著加快了老年手术患者的入学速度. 然而,这项试点研究没有发现,通过呼叫器警报或家庭干预,妄想发作的发生率有所减少.
科学领域:
- 老年医学 老年医学
- 手术患者护理手术患者护理
- 痴呆症预防 预防痴呆症
背景情况:
- 年龄较大的外科手术患者有 Delirium 的高风险.
- 医院老年人生活计划 (HELP) 是一种痴呆症预防服务.
- 加快招募到妄症预防计划可能会改善结果.
研究的目的:
- 确定HELP的术后呼叫器警报是否可以加速老年手术患者的入学.
- 测试家庭护理伙伴干预措施的可行性,以预防妄想.
主要方法:
- 一项试点临床试验将57名老年非心脏手术患者随机分为四个部门:标准护理,呼叫器警报到HELP,家庭干预或两者兼而有之.
- 主要结局是妄想发病率,使用混乱评估方法进行评估.
主要成果:
- 呼叫器警报在术后第一天显著增加了HELP入学率 (54%对0%,P<0.001).
- 在呼叫机警报手臂中,错觉预防协议的时间更长 (39分钟比0分钟,P<0.001).
- 在呼叫器警报臂和非警报臂之间,或在家庭干预臂和非干预臂之间,没有发现妄发生的显著差异.
结论:
- 呼叫器有效地提醒并迅速增加了妄预防计划的入学率.
- 尽管加快了招生,但这项试点研究并没有证明妄发病率有所降低.
- 家庭护理伙伴在研究期间花费了大量时间在床边护理.
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