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在住院瘤病房预防跌倒和受伤的干预措施:范围审查
Elizabeth Capezuti1, Amil Tan, Ray-An Talatala
1Author Affiliations: Hunter-Bellevue School of Nursing (Drs Capezuti, Tan, and Marcel, and Ms Yu, Mr Scacalossi, Mss Zaman, Attaway, and Chong), Hunter College of the City University of New York New York, New York; Nursing Professional Development Department (Dr Talatala), Nursing Quality (Dr Lall), NYC Health and Hospitals/Bellevue Hospital (Mss Scaramuzzino and Tennill, and Dr Abedalrhman), New York, New York; Hunter College of the City University of New York (Ms Pathak) New York, New York; and Corporate Office of Nursing Administration (Dr George), NYC Health + Hospitals, New York, New York.
癌症患者在医院面临高风险的跌倒. 多因素干预措施,特别是涉及护士圆形化和患者参与的干预措施,在改善护理和预防伤害方面表现有前途.
科学领域:
- 瘤学 护理 护理专业
- 患者安全 患者安全
- 提高质量 提高质量
背景情况:
- 住院的癌症患者有较高的跌倒和受伤风险.
- 布在癌症治疗期间对患者的福祉构成重大威胁.
研究的目的:
- 系统地审查和评估在住院瘤诊所的跌倒预防策略的有效性.
- 评估现有的关于减少癌症患者跌倒的干预措施的文献.
主要方法:
- 在遵循PRISMA指南的5个数据库中进行系统的文献搜索.
- 由独立审稿人对1039项研究进行选.
- 使用质量改进最低质量标准集的方法质量评估.
主要成果:
- 包括十项质量改善研究,所有这些都采用了多因素干预措施.
- 大多数干预措施都是以人员为中心的,基于评估,仅限于癌症特定的向.
- 很少有干预措施积极纳入患者的意见.
结论:
- 个性化评估和干预措施在护理团队和患者之间协调一致时,可以改善护理.
- 护士的圆形化和患者的参与增强了沟通,自我评估,满意度和坚持.
- 建议在预防跌倒方面进行进一步的研究和技术进展.
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