为年长的成年后期患者实施 Delirium 协议包,治疗骨折的患者
Ann E Hendrickson1, Chondra N Butler2
1School of Nursing, West Virginia University, Morgantown, WV, USA ann.hendrickson@hsc.wvu.edu.
Journal of doctoral nursing practice
|July 23, 2025
概括
实施基于证据的妄想协议包显著降低了老年骨折患者的妄想发病率. 这导致了患者的康复和出院到康复中心的改善,提高了整体结果.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 患者安全 患者安全
背景情况:
- 患有关节骨折的老年人面临高风险的术后妄想,导致功能下降和养老院安置.
- 现有的妄想评估和干预方案往往缺乏,这会对患者的康复和出院目的地产生负面影响.
- 在这个人群中,狂妄症与不良结果有关,包括长时间住院和增加死亡率.
研究的目的:
- 为了降低术后关节骨折患者 Delirium 的患病率.
- 实施基于证据的妄想评估和干预方案捆绑.
- 改善患有骨骨折的老年人患者的治疗结果和出院目的地.
主要方法:
- 实施前后设计试点项目与22名50岁及以上的术后关节骨折患者进行.
- 收集了关于妄想症状和协议捆绑遵守的数据.
- 与前一年的数据进行了比较,当时协议包还没有到位.
主要成果:
- 狂妄症协议捆绑实现了68%的狂妄症预防率.
- 术后第一天的 Delirium 发病率下降了 27.5%.
- 与长期安置在养老院相比,送往康复中心的出院人数增加了36%.
结论:
- 狂妄症协议包的实施导致狂妄症患病率的临床显著降低.
- 协议包作为一个以证据为基础的资源,用于改善患者的治疗结果.
- 这种干预措施提高了护士的专业实践,并有助于改善患者护理.
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