评估由护士管理的酒精戒断综合征途径:一个由症状触发的研究协议
Megan Burnette1, Amy Cooley1, Mary Mills1
1Missouri Baptist Medical Center, 3015 N Ballas Rd, St. Louis, MO, 63131, United States of America.
对酒精戒断综合征 (AWS) 的早期护理评估显著减少了患者逗留时间 (LOS). 标准化协议赋予护士权力,提高临床效率和患者的治疗结果.
科学领域:
- 护理研究 护理研究
- 临床协议 临床协议
- 患者的治疗结果.
背景情况:
- 酒精戒断综合征 (AWS) 对医疗保健资源利用提出了重大挑战.
- 目前的症状触发协议缺乏护士管理的药物定位模型的经验证据.
研究的目的:
- 评估一个标准化的,逐步的,护士管理的协议对AWS的有效性.
- 确定护理过程测量,特别是时间到第一次AWS评估,和住院患者停留时间 (LOS) 之间的关联.
主要方法:
- 根据护士领导的洛拉泽帕姆协议管理的419名患者的回顾性分析.
- 层次的多重回归用于识别LOS的预测因素,控制人口统计和基线严重程度.
主要成果:
- 第一次AWS评估的中位时间为7小时.
- 在Time to First AWS评估和LOS (p < 0.05) 之间发现了显著的关联.
- 最初评估的延迟与住院时间的延长有关.
结论:
- 结构化护理协议通过正式化护士自主性来提高临床效率.
- 早期护理干预是减少AWS患者LOS的关键因素.
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