University of Wisconsin-Milwaukee, USA.
Am J Alzheimers Dis Other Demen. 2010 Jun;25(4):317-23. doi: 10.1177/1533317510363471. Epub 2010 Mar 17.
This study describes new problems emerging over 6 weeks for nursing home residents with advanced dementia and factors associated with time to identify the problems. The sample of 65 developed 149 new acute problems or exacerbations of existing conditions over the 6 weeks of data collection. The majority of these problems involved uncontrolled pain, new infections, and severe psychoses. Nurse assessment skill was associated with a shorter time to identify the new problem and more time spent on the problem. A higher ratio of new to existing interventions was also associated with a shorter time to identify the problem. Other patient characteristics associated with time to identify problems included nonspecific vocalizations, physical signs, cognitive status, and length of stay. While future research is warranted, findings from this study highlight the frequency of problems requiring treatment and suggest that improved assessment of residents may decrease the time to identify new problems.
本研究描述了在 6 周内,患有晚期痴呆症的养老院居民出现的新问题,以及与识别这些问题所需时间相关的因素。在数据收集的 6 周内,65 名参与者共出现 149 个新的急性问题或原有疾病的恶化。这些问题大多数涉及无法控制的疼痛、新的感染和严重的精神病。护士的评估技能与识别新问题所需的时间更短以及在问题上花费的时间更多有关。新干预措施与现有干预措施的比例较高也与识别问题所需的时间较短有关。与识别问题所需时间相关的其他患者特征包括非特定的发声、身体迹象、认知状态和住院时间。虽然需要进一步研究,但本研究的结果突出了需要治疗的问题的频率,并表明对居民进行更好的评估可能会缩短识别新问题所需的时间。