Mulkey Malissa A, Olson DaiWai M, Misrahi Sarah, Hardin Sonya R
Clinical Nurse Specialist, University of North Carolina-Rex Hospital, Raleigh, NC; and Post-Doctoral Research Fellow, Indiana University-Purdue University, Indianapolis, IN.
Professor of Neurology, University of Texas Southwestern, Dallas, TX.
Medsurg Nurs. 2021 Nov-Dec;30(6):414-418.
This project aimed to identify patients who had experienced a stroke and were at risk for delirium earlier, and implement evidence-based protocols to reduce overall length of stay and mortality. Nurses were motivated to perform screening and implement strategies that benefit patients who had experienced acute stroke. Results suggest early identification and treatment of delirium, use of prevention strategies, and treatment of the underlying etiology can improve patient outcomes and reduce cost of care.
该项目旨在更早地识别出经历过中风且有谵妄风险的患者,并实施循证方案以缩短总体住院时间和降低死亡率。护士们积极开展筛查并实施有利于急性中风患者的策略。结果表明,早期识别和治疗谵妄、采用预防策略以及治疗潜在病因可改善患者预后并降低护理成本。