为老年急诊室患者开发一种新的过渡性护理模式,并探索台湾的目标人群
Hung-Lin Hsu1, Chung-Han Ho2,3, Ying-Jia Lin2
1Department of Emergency Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Frontiers in medicine
|December 31, 2024
概括
在急诊室 (ED) 的过渡护理护士 (TCN) 确定了需要支持的脆弱老年患者. 虽然结果相似,但这种护理模式突出了TCNs.
科学领域:
- 老年学是一门学科.
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 紧急诊所 (ED) 的过渡性护理对老年人来说是有前景的,但其在台湾的具体好处和影响尚未明确.
- 一个跨学科的团队,包括过渡期护理护士 (TCN),在三级医疗中心成立,以解决这些差距.
研究的目的:
- 实施和评估台湾老年患者的新型ED过渡期护理模式.
- 确定受益于过渡期护理服务的老年ED患者的特定人群.
主要方法:
- 一个跨学科的团队,包括TCN,选了老年ED患者 (≥75岁) 等待住院治疗.
- 一项回顾性分析比较了在三个月内接受TCN援助的患者和没有接受TCN援助的患者的结果.
主要成果:
- 该研究涉及183名获得TCN辅助的患者和374名没有TCN辅助的患者.
- 接受TCN护理的患者年龄较大,患有更多的并发症,以及更高的养,导管,临终关怀和息护理需求.
- 常见的TCN干预包括家庭护理指令,长期护理转诊和社会工作转诊.
结论:
- 实施的模型成功地确定了受益于过渡期护理服务的老年患者.
- 尽管脆弱,但接受TCN护理的患者并没有表现出劣质的结果,这表明潜在的益处.
- 建议进行进一步的研究,以探索ED环境中过渡性护理的全部影响.
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