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护理干预疼痛管理对老年髋部手术患者住院时间的独特贡献。

The unique contribution of the nursing intervention pain management on length of stay in older patients undergoing hip procedures.

机构信息

University of Iowa College of Nursing, Iowa City, Iowa 52242, USA.

出版信息

Appl Nurs Res. 2010 Feb;23(1):36-44. doi: 10.1016/j.apnr.2008.03.007. Epub 2009 Jan 15.

DOI:10.1016/j.apnr.2008.03.007
PMID:20122509
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2846287/
Abstract

The purpose of this study was to examine the unique contribution of the nursing intervention pain management on length of stay (LOS) for 568 older patients hospitalized for hip procedures. Propensity-score-adjusted analysis was used to determine the effect of pain management on LOS. The LOS for hospitalizations that received pain management was 0.78 day longer than that for hospitalizations that did not receive pain management. Other variables that were predictors of LOS included several context-of-care variables (e.g., time spent in the intensive care unit, registered nurse skill mix, etc.), number of medical procedures and unique medications, and several other nursing interventions.

摘要

本研究旨在探讨护理干预疼痛管理对 568 名接受髋关节手术的老年患者住院时间(LOS)的独特贡献。采用倾向评分调整分析来确定疼痛管理对 LOS 的影响。接受疼痛管理的住院患者的 LOS 比未接受疼痛管理的住院患者长 0.78 天。其他预测 LOS 的变量包括护理环境变量(例如,在重症监护病房的时间、注册护士技能组合等)、医疗程序和独特药物的数量以及其他几个护理干预措施。

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本文引用的文献

1
Estimating effects of nursing intervention via propensity score analysis.通过倾向得分分析评估护理干预的效果。
Nurs Res. 2008 Nov-Dec;57(6):444-52. doi: 10.1097/NNR.0b013e31818c66f6.
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The effects of hospitalization on multiple units.住院对多个单位的影响。
Appl Nurs Res. 2008 Feb;21(1):15-22. doi: 10.1016/j.apnr.2006.07.001.
3
Handoffs in care--can we make them safer?医疗照护交接——我们能让其更安全吗?
Pediatr Clin North Am. 2006 Dec;53(6):1185-95. doi: 10.1016/j.pcl.2006.09.010.
4
Nursing interventions and other factors associated with discharge disposition in older patients after hip fractures.
Nurs Res. 2006 Jul-Aug;55(4):231-42. doi: 10.1097/00006199-200607000-00003.
5
2004 National Hospital Discharge Survey.2004年全国医院出院调查。
Adv Data. 2006 May 4(371):1-19.
6
Nurse staffing and healthcare outcomes: a systematic review of the international research evidence.护士人员配备与医疗保健结果:对国际研究证据的系统评价
ANS Adv Nurs Sci. 2005 Apr-Jun;28(2):163-74. doi: 10.1097/00012272-200504000-00008.
7
Effects of a hospitalist model on elderly patients with hip fracture.住院医师模式对老年髋部骨折患者的影响。
Arch Intern Med. 2005 Apr 11;165(7):796-801. doi: 10.1001/archinte.165.7.796.
8
Describing use of nursing interventions for three groups of patients.描述针对三组患者的护理干预措施的使用情况。
J Nurs Scholarsh. 2005;37(1):57-66. doi: 10.1111/j.1547-5069.2005.00003.x.
9
Handoff strategies in settings with high consequences for failure: lessons for health care operations.在失败后果严重的环境中的交接策略:医疗保健运营的经验教训。
Int J Qual Health Care. 2004 Apr;16(2):125-32. doi: 10.1093/intqhc/mzh026.
10
Nurse staffing and mortality for Medicare patients with acute myocardial infarction.医疗保险急性心肌梗死患者的护士配备与死亡率
Med Care. 2004 Jan;42(1):4-12. doi: 10.1097/01.mlr.0000102369.67404.b0.