在紧急整体外科的嵌入式老年医疗服务中观察到的结果:系统性审查
Henry Logan1, Ashleigh Phillips1, Elizabeth Holliday2
1Surgical Services, John Hunter Hospital, Locked Bag 1, Hunter Regional Mail Centre, New Lambton Heights, NSW, Australia; University of Newcastle, University Dr, Callaghan, NSW, Australia.
The Journal of surgical research
|May 11, 2025
概括
将老年护理整合到紧急整体外科手术中,有望减少住院时间 (LOS). 虽然证据有限,但这种方法可能有利于老年患者,尽管需要进一步研究患者的结果.
科学领域:
- 老年医学 老年医学
- 手术护理 手术护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 人口老龄化和外科手术的进步需要在紧急一般外科手术中进行专门的老年病管理.
- 整合主动老年医疗服务可能会改善医院和患者的治疗结果.
- 本综述综合了关于嵌入式老年护理在这种环境中的可衡量的结果的证据.
研究的目的:
- 综合关于嵌入式老年护理在紧急普通外科手术中的可测量结果的证据.
- 评估老年医疗服务对医院和基于患者的指标的影响.
- 为了确定在这个专业的护理领域的研究差距.
主要方法:
- 在主要数据库 (Medline,Embase,Cochrane图书馆,CINAHL,Scopus) 进行了全面的文献搜索.
- 包括八项前期前后研究,评估紧急整体外科的嵌入式老年医疗服务.
- 评估的关键结果包括患者报告的结果,停留时间 (LOS),死亡率,并发症,ICU入院,再入院和制度化.
主要成果:
- 八项研究中有七项报告了停留时间 (LOS) 的减少,其中四项显示了统计学意义.
- 死亡率,再入院率和并发症率的结果在不同研究中是可变的.
- 仅在一项研究中报告了与患者相关的结局,没有显示出显著的前后影响.
结论:
- 关于紧急整体外科的综合老年护理的公布数据很少,但始终表明LOS的减少.
- 进一步的研究是必要的,以验证综合老年保健对医院和患者结果的更广泛影响.
- 需要更多的研究来确认益处,并探索对以患者为中心的指标的影响.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
63
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
63
01:11Guidelines for Writing Outcome
2.7K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.7K
01:26Endoscopic Procedures V: ERCP
136
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
136
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
92
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
92
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
79
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
79
01:30Specialized Care Centers and Settings-II
719
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
719