Predictors of nonpharmacological and pharmacological treatments stopped and started among nursing home residents with dementia.

Predictors of nonpharmacological and pharmacological treatments stopped and started among nursing home residents with dementia.
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DOI:
10.3928/19404921-20110831-01
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发表时间:
2012-04
影响因子:
1.6
通讯作者:
Stetzer F
Stetzer F
中科院分区:
医学4区
文献类型:
--
作者:
Simpson MR;Kovach CR;Stetzer F

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本研究的目的是描述药物和非药物治疗停止和新的治疗开始超过6周的样本中的中度至重度痴呆的疗养院居民,并确定护士和居民的因素与开始新的和停止无效/不必要的非药物和药物治疗。来自中西部12家养老院的134名老年痴呆症养老院居民和39名护士参加了这项研究。住院医师和护理过程的数据收集在每日跟踪表完成的主要护士在六个星期的时间。评估驱动的干预和评价驱动的随访均显著预测治疗停止和新治疗开始。护士在维持住院医师的生理和心理平衡方面发挥着重要作用,通过评估驱动的干预和评估驱动的跟进,警惕地应对住院医师的身体问题和行为。
The purpose of this study was to describe the pharmacological and non-pharmacological treatments stopped and new treatments started over 6 weeks among a sample of nursing home residents with moderate-to-severe dementia and to identify the nurse and resident factors associated with starting new and stopping ineffective/unnecessary non-pharmacological and pharmacological treatments. One hundred and thirty-four nursing home residents with dementia and 39 nurses from 12 nursing homes in the Midwest participated in this study. Resident and nursing process data were collected on daily tracking forms completed by the primary nurse over a six week period. Both assessment driven intervention and evaluation driven follow through significantly predicted treatments stopped and new treatments started. The nurse serves an essential role in maintaining resident physiological and psychological homeostasis by vigilantly responding to residents’ physical problems and behaviors with assessment driven intervention and evaluation driven follow through.
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