Department of Emergency Medicine, Mayo Clinic, Rochester, MN, USA.
Department of Emergency Medicine, Mayo Clinic, Rochester, MN, USA.
Am J Emerg Med. 2021 Jan;39:15-20. doi: 10.1016/j.ajem.2020.04.089. Epub 2020 May 4.
Determine if a comfort cart would improve older adults' comfort and facilitate communication during Emergency Department (ED) visits.
A comfort cart containing low-cost, non-pharmacological interventions to improve patient comfort and ability to communicate (e.g., hearing amplifiers, reading glasses) were made available to patients aged ≥65 years. Patients and clinicians were surveyed to assess effectiveness. We followed the Standards for Quality Improvement Reporting Excellence: SQUIRE 2.0 guidelines.
Three hundred patients and 100 providers were surveyed. Among patients, 98.0%, 95.1%, and 67.5% somewhat or strongly agreed that the comfort cart improved comfort, overall experience, and independence, respectively. Among providers, 97.0%, 95.0%, 87.0%, and 83% somewhat or strongly agreed that the comfort cart provided comfort, improved patient satisfaction, increased ability to give compassionate care, and increased patient orientation.
The comfort cart was an affordable and effective intervention that improved patients' comfort by facilitating communication, wellbeing, and compassionate care delivery.
确定舒适推车是否能提高老年人在急诊科就诊时的舒适度并促进沟通。
为年龄≥65 岁的患者提供了一个装有低成本、非药物干预措施的舒适推车，以改善患者的舒适度和沟通能力（例如，助听器、阅读眼镜）。对患者和临床医生进行了调查以评估其效果。我们遵循了《质量改进报告卓越标准：SQUIRE 2.0 指南》。
对 300 名患者和 100 名医务人员进行了调查。在患者中，分别有 98.0%、95.1%和 67.5%的患者表示舒适推车在一定程度上或强烈地改善了舒适度、整体体验和独立性。在医务人员中，分别有 97.0%、95.0%、87.0%和 83%的医务人员表示舒适推车提供了舒适、提高了患者满意度、增加了给予同情关怀的能力以及增加了患者的适应能力。
舒适推车是一种经济实惠且有效的干预措施，通过促进沟通、幸福感和同情关怀的提供，提高了患者的舒适度。
