在住院治疗痴呆症患者时,护理人员使用功能集中护理
Barbara Resnick1, Marie Boltz2, Elizabeth Galik1
1University of Maryland School of Nursing, Baltimore, USA.
Clinical nursing research
|February 3, 2025
概括
功能为中心的护理 (FFC) 实施改善了住院老年痴呆症患者的体育活动参与. 随着时间的推移,护士提供了更多的FFC,增加了患者在住院期间的流动性和自我护理.
科学领域:
- 老年学是一门学科.
- 护理科学 护理科学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 患有痴呆症的住院老年人表现出较低的体力活动水平,导致功能下降和护理质量低下.
- 功能为中心的护理 (FFC) 是一种哲学,在所有护理交互过程中促进患者的身体活动和自我护理.
- 证据整合三角形 (EIT) 框架指导FFC在急性护理环境中的实施.
研究的目的:
- 用证据整合三角形 (FFC-AC-EIT) 描述护士在2个月和6个月后对急性护理的功能集中护理的提供.
- 为了评估随着时间的推移,护士所执行的FFC活动频率的变化.
- 评估FFC-AC-EIT对与体育活动相关的护士-患者互动的影响.
主要方法:
- 一项描述性研究,观察护士与患者之间的互动.
- 数据通过54个护士-病人观察在2个月和69个观察在干预后6个月收集的数据.
- 量化了护士执行的19种可能的FFC活动的数量和百分比.
主要成果:
- 护士在2个月内平均进行了3.2个FFC活动 (83%的观察活动),在6个月后略有增加到86%.
- 没有进行的FFC活动的百分比从2个月后的16%下降到6个月后的11%.
- 增加对FFC-AC-EIT的暴露与护士提供更多以功能为中心的护理相关.
结论:
- 实施FFC-AC-EIT导致护士更多地提供了以功能为中心的护理.
- 员工更长时间接触FFC-AC-EIT干预导致了更以功能为中心的护理.
- 虽然整体患者体力活动的参与仍然有限,但FFC显示出改善痴呆症住院老年人护理质量的承诺.
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