通过志愿者参与优化 Delirium (DOVE):一个回顾性研究
Kevin L Webb1, Wyatt W Pruter2, Renu B Boyapati3
1Mayo Clinic Alix School of Medicine, Rochester, Minnesota, United States.
The Gerontologist
|November 10, 2025
概括
一个志愿者计划显著减少了近10%的医院狂妄症. 这种以人文为基础的方法,以志愿者参与 (DOVE) 优化狂妄症为基础,提供了一种可行的预防策略.
科学领域:
- 老年病的医生 老年病的医生
- 医院 医院 医疗 医疗 医疗 医疗
- 患者安全 患者安全
背景情况:
- 住院妄想是一种常见的并发症,影响患者的治疗结果.
- 有效的预防策略至关重要,尤其是在人力短缺期间.
研究的目的:
- 评估神经优化与志愿者参与 (DOVE) 计划在预防住院神经方面的有效性.
- 评估一个以人文为基础的志愿者干预,以预防妄想.
主要方法:
- 志愿者提供结构化,以人文为基础的干预,以患有 Delirium 风险评估 (DRA) 评分识别的风险患者.
- 数据被追溯收集并与匹配的对照队列进行了比较.
- 用混评估方法 (CAM) 或临床医生文档来确定 Delirium 的发生.
主要成果:
- 与对照群相比,DOVE队列的住院妄想发病率较低 (46.8%与56.7%,p=0.015).
- DOVE干预与妄的几率比率明显较低相关 (OR=0.55,p=0.015).
- 对高风险患者的亚组分析 (DRA分数3-4) 也表明了潜在的益处 (OR=0.56,p=0.053).
结论:
- 通过DOVE计划,医院内 Delirium 的发生率显著减少.
- 以人文为基础的志愿者干预是预防妄想的可行和有效策略.
- DOVE模型值得考虑在医疗保健环境中进行更广泛的实施.
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