老年人痴呆症叠加谵妄的计算机化决策支持
Computerized decision support for delirium superimposed on dementia in older adults.
作者信息
Fick Donna M, Steis Melinda R, Mion Lorraine C, Walls Joyce L
机构信息
Pennsyvania State University School of Nursing, University Park, PA, USA.
出版信息
J Gerontol Nurs. 2011 Apr;37(4):39-47. doi: 10.3928/00989134-20100930-01. Epub 2010 Oct 22.
Delirium is common, deadly, and costly in people with dementia. The purpose of this pilot study was to test the feasibility of the computerized decision support component of an intervention strategy-Early Nurse Detection of Delirium Superimposed on Dementia-designed to improve nurse assessment and detection of delirium superimposed on dementia. This pilot study enrolled and followed 15 individuals with dementia (mean age = 83, mean admission Mini-Mental State Examination score = 14.8) and their caregivers daily for the duration of their hospitalization. Results indicated 100% adherence by nursing staff on the delirium assessment decision support screens and 75% adherence on the management screens. Despite the prevalence and severity of delirium in people with dementia, there are currently no published reports of the use of the electronic medical record in delirium detection and management. Success of this effort may encourage similar use of information technology in other settings.
谵妄在痴呆患者中很常见，具有致命性且成本高昂。这项初步研究的目的是测试一种干预策略（即早期护士对痴呆叠加谵妄的检测）中计算机化决策支持组件的可行性，该策略旨在改善护士对痴呆叠加谵妄的评估和检测。这项初步研究纳入了15名痴呆患者（平均年龄 = 83岁，入院时简易精神状态检查表平均得分 = 14.8）及其护理人员，并在他们住院期间每天进行跟踪。结果表明，护理人员在谵妄评估决策支持屏幕上的依从率为100%，在管理屏幕上的依从率为75%。尽管痴呆患者中谵妄的患病率和严重程度都很高，但目前尚无关于在谵妄检测和管理中使用电子病历的公开报告。这项工作的成功可能会鼓励在其他环境中类似地使用信息技术。
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