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首页> 外文学位 >Older hospitalized patients who are cared for in a specialized unit called the Delirium Room.
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Older hospitalized patients who are cared for in a specialized unit called the Delirium Room.

机译：住院较老的患者需要在专门的部门中进行护理，该部门称为“熟食室”。

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Background. Evaluating management of delirium through the implementation of a care modality called a Delirium Room (DR) of an Acute Care for the Elderly (ACE) unit. The DR was created in theory to be a care modality that is to raise the awareness and emphasis on the diagnosis and management of delirium.;Methods. The research studied 168 patients 65 years of age or older who had been admitted to the ACE or DR unit of a suburban hospital and who had at least a 48 hour stay and was evaluated by the geriatric team within this timeframe. The purpose of the study was to return to the naturalistic design and model of research and make quantitative comparisons, based on retrospective data collection, observation, and measurement, of dependent variables (functionality, cognition, and length of stay) among 4 types of patients as a function of delirium status (delirium as opposed to no delirium) and care setting (Delirium Room as opposed to ACE unit). Secondary dependent variables included complications, institutionalization, and mortality. The key elements of the program are multidisciplinary multi-component, and features of the unit include physical environmental changes to promote mobility and function and discourage bed rest. Comprehensive geriatric care team meetings occur daily to identify and address problems that lead to a decline through early identification. A nurse staff is in the room at all times in the care cycle.;Results. Care modality and subclinical delirium status had a statistically significant interactive association with function at discharge. The interaction effect was significant, F(1,128) = 5.1, P 0.05, such that the effect of subclinical delirium on function (ADL) at discharge depends on whether or not the patient was treated on the DR. Subclinically-delirious patients treated on the DR improved in ADL at discharge, relative to subclinically-delirious patients not treated on the DR. Those patients with greater than or equal to 1 day in the DR and greater than or equal to 1 day of delirium went from 1.9 mean ADL score to 2.4 mean. All other groups declined. The identification of subclinical delirium was significant to predict outcomes for patients with delirium. All other outcomes findings from dependent variables were not significant.;Conclusion. The Delirium Room care modality enhances function among patients with significant symptoms of delirium, so that they are more functionally independent when they leave the hospital (relative to those who are not treated on the DR). The DR moderated outcomes for patients with subclinical delirium, patients spending some time in the DR improved in function at discharge.
机译：背景。通过实施称为急性老年人护理（ACE）部门的care妄室（DR）的护理方式，评估del妄的管理。 DR在理论上被创建为一种护理方式，旨在提高人们对awareness妄的诊断和管理的认识并强调其重要性。这项研究研究了168位65岁或65岁以上的患者，这些患者已被送往郊区医院的ACE或DR病房，并且至少住院了48小时，并由老年医学小组在此时间范围内进行了评估。本研究的目的是回归自然设计和研究模型，并基于回顾性数据收集，观察和测量，对4种类型患者的因变量（功能，认知和住院时间）进行定量比较。 ir妄状态（del妄而不是no妄）和护理设置（Delirium Room而不是ACE单位）的函数。次要因变量包括并发症，机构化和死亡率。该计划的关键要素是多学科的多组成部分，该部门的特点包括物理环境的变化，以促进活动性和功能，并阻止卧床休息。每天都会召开全面的老年护理小组会议，以识别和解决因早期识别而导致下降的问题。在护理周期中，护士人员始终在房间里。护理方式和亚临床del妄状态与出院时的功能具有统计学意义的互动关联。相互作用作用显着，F（1,128）= 5.1，P <0.05，因此亚临床del妄对出院时功能（ADL）的影响取决于患者是否接受了DR治疗。与未接受DR治疗的亚临床妄想患者相比，接受DR治疗的亚临床妄想患者出院时ADL改善。在DR中大于或等于1天且ir妄大于或等于1天的患者从ADL均值1.9变为2.4均值。所有其他组都拒绝了。亚临床del妄的鉴定对于预测del妄患者的预后具有重要意义。从因变量得出的所有其他结果结果均不显着。结论。 r妄室护理模式可增强有明显ir妄症状的患者的功能，从而使他们离开医院时（相对于未经DR治疗的患者）在功能上更加独立。 DR缓解了亚临床del妄患者的结局，花了一些时间在DR中的患者出院时的功能得到了改善。

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