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对存在医疗功能障碍的养老院依赖单元上午第一时段基本日常生活协助情况的调查

A Survey of Basic Daily Living Assistance in Dependency Units during the Morning First Period at Nursing Homes with a Healthcare Dysfunction.

作者信息

Camacho-Conde José Antonio, Muñoz-Arbona David Juan

机构信息

Department of Evolutionary and Educational Psychology, University of Granada, E-51005 Ceuta, Spain.

Teaching Technical Advisor for Inter-institutional Educational Programs, Provincial Office of the Ministry of Education in Ceuta, E-51005 Ceuta, Spain.

出版信息

Nurs Rep. 2022 Feb 14;12(1):125-139. doi: 10.3390/nursrep12010013.

DOI:10.3390/nursrep12010013
PMID:35225899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8883999/
Abstract

(1) Background: It is important to evaluate the attention in the basic activities of daily life in the early hours of the day to evaluate the quality of care and to be able to increase the attention of human resources in case of observing an increase in dependency. The purpose was to improve healthcare quality in nursing homes, correctly identifying the work burden and incidents of daily planning, and completing the work plan by nursing assistant staffing. (2) Methods: The sample is based on 70 elderly people. The analysis used an observational trial every workday over a six-month period. An ad hoc sheet was prepared to collect socio-demographic data on each participant, and the Barthel Index was applied to the study subjects. A daily record of three basic activities of daily living (BADL), such as dressing, bathing, and eating, was kept. (3) Results: Our results showed a significant evolution in both units, but it was in the psychogeriatric unit in which higher compliance with the schedule and higher maintained stability was reached. (4) Conclusions: The use of some BADL registers helped us address situations of imbalance in terms of user assistance and establish an interdisciplinary communication with the nursing team as a way of achieving better organization and compliance with care protocols.

摘要

(1) 背景:在一天的早些时候评估日常生活基本活动中的注意力,对于评估护理质量以及在观察到依赖性增加时能够增加人力资源的关注度很重要。目的是提高养老院的医疗保健质量,正确识别日常规划的工作负担和事件,并通过护理助理人员配置完成工作计划。(2) 方法:样本基于70名老年人。分析采用在六个月期间的每个工作日进行的观察性试验。准备了一份特设表格以收集每位参与者的社会人口统计学数据,并将巴氏指数应用于研究对象。记录了诸如穿衣、洗澡和进食等三项日常生活基本活动(BADL)的每日情况。(3) 结果:我们的结果显示两个单元都有显著变化,但在老年精神科单元达到了更高的时间表遵守率和更高的稳定性维持率。(4) 结论:使用一些BADL记录有助于我们应对用户援助方面的不平衡情况,并与护理团队建立跨学科沟通,以此实现更好的组织和护理协议遵守情况。

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本文引用的文献

1
Appropriate Nurse Staffing Levels for U.S. Nursing Homes.美国疗养院的适当护士人员配备水平
Health Serv Insights. 2020 Jun 29;13:1178632920934785. doi: 10.1177/1178632920934785. eCollection 2020.
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The Effect of a Multicomponent Intervention on Quality of Life in Residents of Nursing Homes: A Randomized Controlled Trial (COSMOS).多组分干预对养老院居民生活质量的影响:一项随机对照试验(COSMOS)。
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Factors associated with and impact of burnout in nursing and residential home care workers for the elderly.
老年护理及养老院护理人员职业倦怠的相关因素及影响
Acta Biomed. 2018 Dec 7;89(7-S):60-69. doi: 10.23750/abm.v89i7-S.7830.
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Do care homes deliver person-centred care? A cross-sectional survey of staff-reported abusive and positive behaviours towards residents from the MARQUE (Managing Agitation and Raising Quality of Life) English national care home survey.养老院提供以患者为中心的护理吗?MARQUE(管理激越和提高生活质量)英国全国养老院调查中工作人员报告的针对居民的虐待和积极行为的横断面调查。
PLoS One. 2018 Mar 21;13(3):e0193399. doi: 10.1371/journal.pone.0193399. eCollection 2018.
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Validation of the Barthel Index in the Spanish population.巴氏指数在西班牙人群中的验证。
Enferm Clin (Engl Ed). 2018 May-Jun;28(3):210-211. doi: 10.1016/j.enfcli.2017.12.001. Epub 2018 Feb 4.
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Is the burnout syndrome associated with elder mistreatment in nursing homes: results of a cross-sectional study among nurses.养老院中的倦怠综合征与虐待老年人有关吗:一项针对护士的横断面研究结果
Arh Hig Rada Toksikol. 2017 Sep 26;68(3):190-197. doi: 10.1515/aiht-2017-68-2982.
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Relationship of the perceived social and physical environment with mental health-related quality of life in middle-aged and older adults: mediating effects of physical activity.中老年人感知到的社会和物理环境与心理健康相关生活质量的关系:身体活动的中介作用
PLoS One. 2015 Mar 23;10(3):e0120475. doi: 10.1371/journal.pone.0120475. eCollection 2015.
8
Elder abuse in residential long-term care: an update to the 2003 National Research Council report.长期护理机构中的老年人虐待问题:2003年美国国家研究委员会报告的更新内容
J Appl Gerontol. 2015 Jun;34(4):407-43. doi: 10.1177/0733464813492583. Epub 2013 Jul 19.
9
Observing how RNs use clinical time in a nursing home: a pilot study.观察注册护士在养老院中如何使用临床时间:一项试点研究。
Geriatr Nurs. 2012 Jul-Aug;33(4):256-63. doi: 10.1016/j.gerinurse.2012.01.003. Epub 2012 Feb 16.
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Intelligent Systems For Assessing Aging Changes: home-based, unobtrusive, and continuous assessment of aging.智能系统评估衰老变化:基于家庭、非侵入式、持续评估衰老。
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