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评价一项干预措施在预防住院老年人跌倒方面对卫生团队的有效性。

Evaluation of the effectiveness of an intervention in a health team to prevent falls in hospitalized elderly people.

机构信息

Centro Hospitalar Universitário Lisboa Central, Lisbon, Portugal.

Escola Superior de Enfermagem de Lisboa, Centro de Investigação, Inovação e Desenvolvimento em Enfermagem de Lisboa (CIDNUR), Lisboa, Portugal.

出版信息

Rev Esc Enferm USP. 2021 May 31;55:e03695. doi: 10.1590/S1980-220X2019031403695. eCollection 2021.

Abstract

OBJECTIVE

To evaluate the effectiveness of an intervention program in practices and behaviors of a health team to prevent falls in hos pitalized elderly people.

METHOD

This was an action, mixed-methods, and longitudinal study that applied an intervention based on TeamSTEPPS®, and organized into five domains: team training, communication, leadership, monitoring, and mutual support. The population was nurses and nursing aides who worked at the medical service of a Portuguese hospital center. Data were obtained by consulting process records and interviews, and by applying the Scale of Practices and Behaviors of Teams for Fall Prevention.

RESULTS

There was improvement in all indicators of the scale, with evident progress in discussion of risk factors and preventive measures to be implemented.

CONCLUSION

This intervention promoted decision-making regarding the preventive measures to be applied to each elderly person and improved communication and the interest in identifying the causes of falls to prevent their recurrence.

摘要

目的

评估一项干预计划在医疗实践和行为中的效果,以预防住院老年人跌倒。

方法

这是一项行动、混合方法和纵向研究,采用基于 TeamSTEPPS®的干预措施,并分为五个领域:团队培训、沟通、领导、监测和相互支持。该研究的人群为在葡萄牙医院中心医疗部门工作的护士和护理助手。通过查阅病历和访谈获得数据,并应用预防跌倒团队实践和行为量表。

结果

量表的所有指标均有改善,讨论风险因素和预防措施的进展明显。

结论

这项干预措施促进了针对每位老年人的预防措施的决策,并改善了沟通和识别跌倒原因以防止再次发生的兴趣。

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