通过预防性患者参与来减少一般医院护理的限制:试点研究
Silvia Thomann1, Isabelle Barbezat2, Karin Thomas3
1School of Health Professions, Bern University of Applied Sciences, Applied Research & Development in Nursing, Murtenstrasse 10, Bern, 3008, Switzerland. silvia.thomann@bfh.ch.
BMC geriatrics
|May 20, 2025
概括
一般医院的患者参与可以减少身体克制的使用. 虽然这种干预是可行的,但护理人员发现这种干预耗时,这表明需要改进.
科学领域:
- 老年医学 老年医学
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 减少在一般医院环境中使用身体限制的有效策略是有限的.
- 患者参与已经证明在精神卫生保健和长期护理中成功地减少了限制.
- 本研究探讨了患者参与在一般医院环境下减轻限制的可行性.
研究的目的:
- 在瑞士一家普通医院调查患者参与减少老年人 (65岁以上) 身体限制使用的可行性和影响.
- 开发和试验一种包含患者观点的预防性干预措施.
主要方法:
- 一项试点研究,使用定性和定量方法进行参与行动研究.
- 干预涉及患者对限制风险的反思,并在入院后24小时内定义联合预防措施.
- 通过采访 (患者,护士,管理人员) 和电子患者档案分析收集的数据.
主要成果:
- 在试点期间,限制患病率从10.2%降至4.8%.
- 对风险患者的限制预防措施的文档显著增加 (10.2%至53.1%).
- 护士工作人员报告说,干预耗时,目标群体太广泛,质疑可行性和可接受性.
结论:
- 积极的患者参与显示了减少一般医院限制使用的潜力.
- 患者对在入院期间参与限制预防讨论的积极反应.
- 应考虑将干预措施限制在选择性入院的患者身上,以减轻工作人员的负担.
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