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Testing a two step nursing intervention focused on decreasing rehospitalizations and nursing home admission post discharge from acute care

机译:测试分两步进行的护理干预措施,重点在于减少急性住院后的再住院和出院后的疗养院入院

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摘要

Older adults are at high risk of readmission on discharge from the Acute Medical and Emergency Department (ED). This study examines the effect of a two-stage nursing assessment and intervention to address older adults' uncompensated problems and thus intend to prevent readmission and functional decline. A randomized controlled study was conducted. Included were 271 patients aged 70 and over admitted to an ED. A brief standardized nursing assessment and intervention was carried out after discharge and at follow-up. No effect was found on readmission to hospital, admission to nursing home, or death but the intervention group was less likely to be at risk of depression after 180days. Whether this method can be recommended needs further study as well as knowledge is needed as to the organization and to reveal older adults' experiences on follow-up after ED stay.
机译:老年人因急诊急诊(ED)出院而再次入院的风险很高。这项研究考察了两阶段护理评估和干预措施的效果,以解决老年人的未代偿问题,从而防止再入院和功能下降。进行了一项随机对照研究。其中包括271名年龄在70岁及以上的ED患者。出院后和随访时进行简短的标准化护理评估和干预。再入院,入院或死亡均无影响,但干预组在180天后患抑郁症的可能性较小。是否推荐这种方法需要进一步研究,并且需要有关组织的知识,并揭示老年人在ED住院后的随访经验。

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