护理人员负担和30天的紧急情况部门重新访问
Nathalie Germain1,2,3, Annie Toulouse-Fournier1,3, Rawane Samb1
1Centre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et de services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
JAMA network open
|September 9, 2025
概括
老年人的护理人员负担与30天内再次访问急诊室 (ED) 有关. 解决护理人员压力可能会减少再入院并改善老年患者的护理过渡.
科学领域:
- 老年学和老年医疗护理
- 紧急医疗和医疗保健管理管理
- 公共卫生和卫生服务研究研究
背景情况:
- 社区老年人的护理人员对于成功的急诊室 (ED) 护理过渡至关重要.
- 增加照顾者的负担可以加速老年人ED回归.
- 了解护理人员负担和ED重访之间的联系对于改善患者的治疗结果和医疗资源利用至关重要.
研究的目的:
- 调查护理人员负担与急诊室 (ED) 再访和退院后30天内入院之间的关联.
- 根据老年成人群体的护理人员负担,开发ED复诊的预测模型.
- 探索COVID-19大流行浪潮对这些协会的潜在缓解影响.
主要方法:
- 一项前性队列研究,涉及1409个社区居住的老年人 (≥65岁) 和他们的照顾者.
- 使用Zarit负担采访 (ZBI) 评估了护理人员负担.
- 结果包括在3,7和30天内进行ED复查,以及在30天内导致住院的ED复查.
主要成果:
- 护理人员负担每增加一个点 (ZBI分数) 与30天ED重访的几率增加3%有关 (OR,1.03;P=.03).
- 对于较短的再访窗口 (3或7天) 或导致住院的再访,没有发现显著的关联.
- 护理人员负担和30天ED重访之间的关联可能会受到COVID-19大流行浪潮的缓解,特别是在第一个间波期间逆转.
结论:
- 护理人员负担似乎是一个重要的因素,与社区居住的老年人30天的急诊室再访有关.
- 这些发现强调了评估和支持护理人员的重要性,以潜在地减轻ED再入院的可能性.
- 需要进一步的研究来阐明护理人员负担对老年人ED利用的纵向影响,并为有针对性的干预提供信息.
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