治疗中心:一个以人为中心的方法,以年龄友好的护理
Michelle Nai1, Roxann Robinson, Anna-Rae Montano
1Michelle Nai and Roxann Robinson are geriatric nurse educators, Anna-Rae Montano is the program director of inpatient geriatric services, and Christine Waszynski is a geriatrics consultant, all at Hartford Hospital in Hartford, CT. Contact author: Anna-Rae Montano, anna-rae.montano@hhchealth.org. The authors have disclosed no potential conflicts of interest, financial or otherwise.
The American journal of nursing
|April 24, 2025
概括
住院的老年人受益于年龄友好型护理,利用4M框架 (流动性,指导,药物,重要的是什么) 防止衰退. 治疗中心提供舒适和刺激,通过以关系为中心的干预措施改善患者的结果.
科学领域:
- 老年医学 老年医学
- 患者护理创新患者护理创新
- 医院质量改善 医院质量改善
背景情况:
- 住院的老年人面临着认知和功能衰退的高风险.
- 当前的护理模式可能无法充分满足老年患者的独特需求.
- 年龄友好型卫生系统框架提供了一种结构化的方法来改善对老年人的护理.
研究的目的:
- 描述治疗中心的实施和影响,这是一个针对住院老年人的创新护理空间.
- 要突出在急性护理环境中应用4M框架 (流动性,心理治疗,药物治疗,重要的事情).
- 评估非药物,以关系为中心的干预措施在预防不良结果方面的有效性.
主要方法:
- 在急性护理1级创伤中心实施治疗中心.
- 护士和患者护理人员使用4M框架.
- 提供个性化,非药物治疗干预措施.
- 专注于以关系为中心的护理和多感官刺激.
主要成果:
- 治疗中心为年龄友好型护理干预提供了一个专门的空间.
- 使用多感官刺激和舒适措施来满足患者的需求.
- 4M框架指导了个性化护理的提供.
- 观察到对患者结局的积极影响,包括预防衰退,兴奋和妄想.
结论:
- 治疗中心模型有效地在急性环境中实施了适合老年人的护理原则.
- 4M框架是指导老年住院成年人的干预措施的宝贵工具.
- 以关系为中心的非药物治疗方法可以显著改善老年患者的治疗结果.
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