长期护理机构使用哪些急性恶化工具,它们得到了怎样的评价? 一个范围审查审查
Robert O Barker1,2, Claire H Eastaugh3,4, Ben Searle5
1Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK. robert.barker@newcastle.ac.uk.
BMC health services research
|May 28, 2025
概括
这次审查没有发现有力的证据表明,退化工具可以改善长期护理设施中老年人的护理. 需要进一步的研究来证明居民的好处,并指导这些工具的常规使用.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 临床实践 临床实践
背景情况:
- 长期护理设施 (LTCF) 中老年人的急性恶化呈现出微妙的迹象,缺乏标准化的管理系统.
- 需要有效的工具来识别和管理这个脆弱人群的快速健康下降.
- 本次审查解决了了解LTCFs当前恶化工具的现状的差距.
研究的目的:
- 为管理65岁以上成年人LTCF急性恶化所使用的各种工具提供范围.
- 描述用于这些恶化管理工具的评估方法.
主要方法:
- 一个全面的范围审查,遵循乔安娜·布里格斯研究所的方法.
- 在五个主要数据库 (MEDLINE,APA PsycInfo,Embase,CINAHL,HMIC) 进行搜索,从2013年到2023年 (更新至2025年).
- 包括实验和观察研究,包括质量改进项目,并对研究结果进行叙事综合.
主要成果:
- 包括26项研究,主要来自英国和美国,采用不同的方法.
- 常用的工具包括情况背景行动建议 (SBAR),国家预警分数和STOP AND WATCH.
- 虽然研究表明潜在的好处和提高员工信心 (特别是SBAR),但缺乏强有力的证据和居民经验数据.
结论:
- 尽管有政策倡议,但目前还没有强有力的证据支持在LTCF中使用恶化工具.
- 对居民护理的直接益处尚未被确地证明.
- 进一步的研究是必不可少的,以比较工具与标准护理,评估住院经验,并确定其在常规LTCF实践中的作用.
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