Southcare,126 Kareena Rd, Miranda, NSW 2228, Australia.
Arch Gerontol Geriatr. 2012 Jul-Aug;55(1):60-5. doi: 10.1016/j.archger.2011.06.013. Epub 2011 Jul 16.
This study involves a retrospective review of the patients admitted to a unit providing specialized management to patients displaying difficult behaviors due to delirium and/or dementia. Medical records from 45 consecutive admissions have been reviewed. A great proportion of patients had dementia with superimposed delirium. Compared to care in general aged care wards, there was no reduction in length of stay (LOS) of patients in this study, ostensibly due to the delayed placement for long-term care. However there was a marked reduction in fall incidence and lesser use of 'specials'. Psychotropic medications (PMs) were frequently used but their indications were carefully reviewed. Upon discharge there was improvement in the behavioral profile of the patients. Questionnaires completed by carers and staff were used to further assess the efficacy of the unit. There was general satisfaction of the care provided in the unit whist a few areas have been identified that require further attention. This model of intervention presents an improvement to the quality of care for acutely ill elderly patients with behavioral problems.
本研究回顾性分析了因谵妄和/或痴呆而表现出困难行为的患者入住的一个单元的患者。对 45 例连续入院患者的病历进行了回顾。很大一部分患者患有伴有谵妄的痴呆症。与普通老年护理病房的护理相比，本研究中患者的住院时间（ LOS ）没有缩短，表面上是因为长期护理的延迟安置。然而，跌倒发生率明显下降，“特殊护理”的使用也有所减少。经常使用精神药物（PMs），但仔细审查了其适应证。出院时，患者的行为特征有所改善。护理人员和工作人员填写的问卷用于进一步评估该单元的疗效。护理人员对单元提供的护理普遍满意，同时也确定了一些需要进一步关注的领域。这种干预模式提高了急性老年行为问题患者的护理质量。
