评估实施过程的多组件外科手术期间的干预措施,以预防老年患者的术后功能衰退:一个定性研究
Lisa Lebherz1,2, Cynthia Olotu3, Birgit Koch3
1Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany l.lebherz@uke.de.
BMJ open
|December 18, 2025
概括
为老年患者实施多元干预措施可以减少神经认知障碍. 利益相关者的经验强调了需要调整资源和简化程序,以改善日常护理的采用和可持续性.
科学领域:
- 老年医学 老年医学
- 神经科学是一个神经科学.
- 医疗保健管理的管理
背景情况:
- 老年患者面临更高的术后神经认知障碍的风险,例如妄想.
- 基于证据的术后干预措施对于改善患者的治疗结果至关重要,但需要有效的实施策略.
- 本研究探讨了利益相关者的经验,以了解和促进实施多组件干预.
研究的目的:
- 收集对老年患者多组分干预的实施过程的见解.
- 识别影响术后护理策略的采用,接受和可持续性的障碍和促进者.
- 为以证据为基础的老年护理提供未来的实施努力提供信息.
主要方法:
- 在德国一所学术医院进行的描述性定性评估研究.
- 与22名老年患者和15名参与术后护理的医疗保健专业人员进行了半结构化采访.
- 对实施结果的分析,包括采用,接受,适当性,可行性和可持续性.
主要成果:
- 大多数干预组件都是在试点阶段采纳的.
- 资源有限和后勤挑战对可行性和可持续性构成重大障碍.
- 患者和医疗保健提供者的接受取决于感知到的适当性,因组件和环境而异.
结论:
- 这些发现支持并扩展了关于实施改善老年人术前护理的先前研究.
- 成功实施需要适当的资源配置,简化操作程序和加强跨部门合作.
- 在资源管理和流程简化方面的调整是激励和维持基于证据的实践变革的关键.
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