加强老年患者的病房巡回:修改后的Delphi过程
Lene Holst Andersen1,2, Bo Løfgren3,4, Mads Skipper5
1Department of Medicine, Randers Regional Hospital, Skovlyvej 15, Randers, NE, DK-8930, Denmark. lehane@rm.dk.
BMC medical education
|March 28, 2025
概括
这项研究建立了108个基于共识的内容项目,用于对脆弱的老年患者进行有效的病房巡回. 这些指导方针提高了医疗专业人员在老年护理和患者沟通方面的能力.
科学领域:
- 老年医学 老年医学
- 医学沟通 医学沟通
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 病房周围的实践缺乏详细的描述,阻碍了熟练.
- 在临床环境中,虚弱的老年患者存在独特的挑战.
- 需要标准化指导方针来改善对这一群体的护理.
研究的目的:
- 确定基于共识的内容项目,用于对老年患者进行病房巡视,这些老年患者经历了脆弱.
- 为医疗专业人员提供更清晰的指导方针并增强对最佳实践的理解.
- 提高脆弱的老年人住院期间的护理质量.
主要方法:
- 一项为期五轮的德尔菲研究,涉及30名老年医学专家和5名医学沟通专家.
- 对专家评论进行反复的主题分析,以改进内容项目.
- 共识定义为75%的参与者在1-9的利克特级别上对项目进行了7-9的评分.
主要成果:
- 在108个内容项目上达成共识,这些内容是与脆弱的老年患者的病房巡回.
- 项目被分为四个主题:准备,指导,能力和患者情况.
- 关键领域包括整体审查,环境改善,沟通技巧和认知障碍方面的考虑.
结论:
- 为老年病房巡视制定了一套综合的108个共识项目.
- 这些发现为医疗培训和老年护理的未来研究提供了宝贵的资源.
- 改进病房周围的实践可以提高患有虚弱的老年人患者的治疗结果.
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