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一项多方面的谵妄筛查、预防和治疗举措对急性护理环境中谵妄性跌倒发生率的有效性。

Effectiveness of a Multifaceted Delirium Screening, Prevention, and Treatment Initiative on the Rate of Delirium Falls in the Acute Care Setting.

作者信息

Ferguson Alice, Uldall Karina, Dunn Jessica, Blackmore Christopher Craig, Williams Barbara

机构信息

Virginia Mason Medical Center, Seattle.

出版信息

J Nurs Care Qual. 2018 Jul/Sep;33(3):213-220. doi: 10.1097/NCQ.0000000000000297.

Abstract

Delirium is a potentially modifiable fall risk factor, but few studies address the effects of delirium programs on falls. Beginning in 2011, we implemented a nursing-driven hospitalwide delirium program targeting improvements in risk identification, prevention, detection, and treatment. Over the course of the program, delirium falls decreased from 0.91 to 0.50 per patient day (P = .0002). A decrease in overall falls was also noted (P = .0007).

摘要

谵妄是一个潜在可改变的跌倒风险因素,但很少有研究探讨谵妄管理项目对跌倒的影响。从2011年开始,我们实施了一项由护理主导的全院性谵妄管理项目,目标是改善风险识别、预防、检测和治疗。在该项目实施过程中,谵妄导致的跌倒从每位患者每天0.91次降至0.50次(P = .0002)。总体跌倒次数也有所下降(P = .0007)。

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