对痴呆症患者的干预措施的系统审查:老年ED指南2.0
Sangil Lee1, Michelle Suh2, Luna Ragsdale3
1Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, IA.
medRxiv : the preprint server for health sciences
|March 17, 2025
概括
紧急诊所需要更好的痴呆症护理. 针对老年病房和非药物疗法等量身定制的干预措施在减少痴呆症患者 (PLWD) 复诊和住院治疗方面表现有前途.
科学领域:
- 老年医学 老年医学
- 紧急医疗 紧急医疗
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 痴呆症的患病率正在上升,这给急诊室 (ED) 护理带来了挑战.
- 痴呆症患者 (PLWD) 在ED中面临更高的不良结果风险,包括妄想,更长的停留时间和死亡率.
- 在了解对PLWD有效的ED干预措施方面存在差距.
研究的目的:
- 系统地审查基于证据的ED护理干预措施,用于PLWD.
- 确定能改善这一弱势群体结果的策略.
主要方法:
- 进行了对Ovid MEDLINE,Cochrane图书馆,Scopus和ProQuest论文和论文全球的系统审查.
- 包括的研究包括随机对照试验,观察性研究和质量改进计划,重点是针对PLWD的ED干预措施.
- 评估的结果包括患者满意度,ED复诊,功能衰退和死亡率.
主要成果:
- 在3305项选中,有6项研究符合纳入标准.
- 干预措施包括非药物疗法,专门的老年ED单位和疼痛评估工具.
- 老年急诊室和社区护理人员的转换减少了30天的ED复诊和住院治疗.
结论:
- 迫切需要对PLWD进行标准化,基于证据的ED干预措施.
- 多学科护理模式和非药物疗法显示出改善治疗结果的潜力.
- 未来的研究应该专注于一致的结果措施和以人为中心的护理.
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