紧急诊所访问 多中心随机试验的结果 预防跌倒的干预
Elizabeth M Goldberg1, Sarah Keene2, Megan Bounds1
1Department of Emergency Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
概括
在老年人中,因摔倒而访问急诊室提供了预防的机会. GAPcare II试验表明,基于ED的跌倒预防计划是可行的,并提供可行的建议,而不会增加ED停留时间.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- 跌倒对老年人来说是一个很大的问题,导致急诊室 (ED) 的访问.
- ED访问为实施防摔策略提供了关键的机会.
- GAPcare II试验调查了在多个卫生系统中有效的基于ED的跌倒预防计划.
研究的目的:
- 评估基于ED的跌倒预防计划中的干预流程的成功实施和完成率.
- 评估关键绩效指标,如咨询完成,时间,持续时间和推类型.
- 确定一个多站点ED防摔计划的可行性.
主要方法:
- 一项随机对照试验 (GAPcare II) 涉及65岁以上的社区成年人,在跌倒后向EDs提出.
- 参与者被随机分配,接受干预 (药房和物理治疗咨询) 或通常的ED护理.
- 干预包括对跌倒风险和移动性/平衡评估的药物审查,并提供量身定制的建议.
主要成果:
- 观察到咨询完成率很高:93%用于药房和83%用于物理治疗.
- 咨询时间的中位数为药房24分钟,物理治疗47分钟.
- 药剂师建议调整药物,而物理治疗师建议辅助设备和进一步服务.
结论:
- GAPcare II试验成功地证明了在各种健康系统中实施基于ED的跌倒预防计划的可行性.
- 该计划从药房和物理治疗咨询中产生了可行的建议.
- 干预措施没有显著延长ED停留时间,这表明效率.
更多相关视频
04:05Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
Published on: June 30, 2023
2.8K
08:36Author Spotlight: Evaluating the Adjuvant Efficacy and Safety of Angong Niuhuang Pill in Viral Encephalitis Treatment
Published on: April 19, 2024
1.2K
相关概念视频
01:05Free-falling Bodies: Example
31.7K
An object falling without any air resistance under the influence of gravitational force is said to be in free-fall. For free-falling bodies, the acceleration due to gravity is constant, irrespective of their mass. Free-fall is experienced not only by objects falling downward, but also by all objects whose motion is influenced by gravitational force alone. The dynamics of free-fall motion can be calculated using kinematic equations of motion, since free-fall acceleration is constant.
The...
The...
31.7K
01:27Emerging Adulthood
663
Jeffrey Arnett's concept of emerging adulthood offers a framework to understand the unique developmental stage between adolescence and full-fledged adulthood, generally from ages 18 to 25. This period is marked by extensive exploration and shifts in identity, relationships, and career choices, a process known in psychology as role experimentation. Emerging adulthood reflects the evolving cultural expectations surrounding adulthood and the dynamic process of personal transformation during...
663
01:07Free-falling Bodies: Introduction
11.8K
All objects, neglecting air resistance, fall with the same acceleration towards the Earth's center due to the force exerted by the Earth's gravity. This experimentally determined fact is unexpected because we are so accustomed to the effects of air resistance and friction that we expect light objects to fall slower than heavier ones. People believed that a heavier object had a greater acceleration when falling until Galileo Galilei (1564–1642) proved otherwise. We now know this is...
11.8K
01:03Nursing Interventions I: Taxonomy of Nursing Interventions
3.7K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
3.7K
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.2K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.2K
01:11Clinical Trials: Overview
4.9K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
4.9K