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一个紧急部门的虚拟观察单元防摔计划:试点可接受性研究

Kenji Numata1,2, Abigail E Jones3, Melissa A Meeker3

  • 1Department of Emergency Medicine, St. Marianna University Hospital, Kawasaki, JPN.

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紧急诊所 (ED) 虚拟观察单元 (VOU) 的新一项防摔计划被认为对老年人来说是安全和可接受的. 虽然参与率很低,但干预组报告说,跌倒较少,降落风险降低行为增加.

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科学领域:

  • 老年学是一门学科.
  • 公共卫生 公共卫生
  • 紧急医疗 紧急医疗

背景情况:

  • 跌倒是65岁以上成年人死亡和受伤的主要原因,造成了大量的医疗保健费用.
  • 老年人经常因跌倒而去急诊室 (ED),但由于时间和资源的限制,预防跌倒往往被忽视.
  • 在ED虚拟观测单元 (VOU) 布计划中,开发了一项新的多元件防摔计划.

研究的目的:

  • 评估嵌入ED VOU的新型多组件防摔计划的可行性,可接受性和安全性.
  • 评估患者和提供者对该计划的看法,使用可接受性的理论框架 (TFA).
  • 确定该计划对跌倒风险行为和跌倒发病率在三个月后续的影响.

主要方法:

  • 在一级城市教学医院进行了可行性研究.
  • 该计划包括家庭安全评估,定时启动和启动 (TUG) 测试以及远程医疗药物审查.
  • 患者和提供者调查 (根据TFA改编) 和三个月的后续评估被用来收集数据.

主要成果:

  • 包括35名患者;干预组6名,对照组29名.
  • 患者发现ED VOU Falls计划是可以接受和舒适的,提供者认为它是公平的,可行的和安全的.
  • 三个月后,干预组没有报告下降,而对照组有两次下降 (8%). 干预组还显示了降落风险降低行为的增加.

结论:

  • "ED VOU布计划"是一个可行,可接受和安全的干预措施,适用于患有布的老年人.
  • 低参与率凸显了需要解决医疗服务提供者和患者的担忧,以改善计划的采用.
  • 进一步的调整和改进是必要的,以优化该计划的有效性,并在急诊室设置中达到.