Diakonhjemmet University College, Institute of Nursing and Health, Oslo, Norway.
Int J Older People Nurs. 2013 Sep;8(3):199-206. doi: 10.1111/j.1748-3743.2012.00313.x. Epub 2012 Feb 13.
Knowledge concerning the provision of end of life care to the oldest old hospitalised patients is deficient.
To analyse whether there were differences in registered nurses' documentation of the young old vs. the oldest old patients according to symptoms, clinical signs and treatment in the last 3 days of life.
Data were collected retrospectively in a cross-sectional comparative study at a hospital between autumn 2007 and spring 2009. Methods. The study included 190 patients: 101 (65-84 years) and 89 (85+). Data were extracted from the patients' electronic records using the Resident Assessment Instrument for Palliative Care (RAI-PC).
Falls (OR = 4.01, 95% CI 1.47-10.90) and peripheral oedema (OR = 2.74, 95% CI 1.06-7.11) were significantly more frequent documented in the oldest old patients compared with the young old patients. Delirium was recorded in 15.3% of all patients.
With the exception of more falls and peripheral oedema in the oldest old patients, this study showed no differences in symptoms and treatment between the young old and the oldest old patients. Delirium was poorly documented compared to other studies. Implications for practice. The oldest old patients have a higher risk of falls in the final phase of life, and fall prevention should be considered.
有关为住院高龄患者提供临终关怀的知识还很缺乏。
分析在生命的最后 3 天中，根据症状、临床体征和治疗，注册护士对年轻老年患者和最年长老年患者的记录是否存在差异。
这是一项 2007 年秋至 2009 年春在一家医院进行的回顾性、横断面比较研究，采用的数据收集方法为居民姑息治疗评估工具（RAI-PC）。
本研究纳入了 190 名患者：101 名（65-84 岁）和 89 名（85+）。数据从患者的电子病历中提取。
与年轻老年患者相比，最年长老年患者中记录到的跌倒（OR=4.01，95%CI 1.47-10.90）和外周水肿（OR=2.74，95%CI 1.06-7.11）更为频繁。所有患者中有 15.3%记录到谵妄。
除了最年长老年患者中跌倒和外周水肿更为频繁外，本研究未发现年轻老年患者和最年长老年患者在症状和治疗方面存在差异。与其他研究相比，谵妄记录较差。
最年长老年患者在生命的最后阶段有更高的跌倒风险，应考虑预防跌倒。
