描述干预组件和非药物治疗医疗干预的复杂性,以管理老年人的痛苦行为
Megan Shepherd-Banigan1,2,3,4, Karen M Goldstein1,3,5, Nathan A Boucher4,5,6,7
1Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, NC, USA.
非药物干预可以减少老年人的痛苦行为,但很难实施. 这项研究发现,干预是复杂的,缺乏标准化的报告,阻碍了复制.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 行为科学 行为科学
背景情况:
- 在住宿护理中,痛苦行为很普遍,影响老年人的生活质量和员工福祉.
- 非药物干预措施显示出希望,但在日常护理中面临实施挑战.
研究的目的:
- 分析老年人痛苦行为的非药物干预的特征和复杂性.
- 确定阻碍这些干预措施在住院护理环境中复制的障碍.
主要方法:
- 在系统性审查中发现的干预措施的叙述性重新分析.
- 基于设置,重点,核心组件和复杂性的干预措施的分类.
主要成果:
- 干预措施主要在后急性,过渡期和住院心理健康环境中实施.
- 干预措施复杂而异质,针对患者,医疗保健工作者和环境.
- 关键组成部分包括个性化护理计划,应急检测,医疗管理,症状监测,员工教育和工作流调整.
结论:
- 目前的证据缺乏足够的细节来进行干预复制.
- 建议采用标准化干预测试和报告模板,以改善未来的实施.
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