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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.

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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