PREDICTING THE USE OF SLEEP MEDICATIONS IN NURSING HOMES

预测疗养院中睡眠药物的使用情况

• 批准号: 3115639
• 负责人: BONNIE L SVARSTAD
• 金额: $ 6.73万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 1985
• 资助国家: 美国
• 起止时间: 1985-09-30 至 1989-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3115639
• 关键词: aging; decision making; health behavior; human old age (65+); interview; nursing; nursing homes; personality; questionnaires; sedative /hypnotic; social psychology

The main purposes of this study are: (a) describe the nature and extent of sleep medication use among elderly men and women residing in 18 skilled nursing facilities; (b) determine the relationship between the rate of nurse administration and various medical, social, psychological, and situational factors that may influence nurse decision-making; and (c) determine whether and how nursing home ownership is related to the administration of sleep medications. The theoretical framework considers both social and medical factors, including: patient characteristics, the level of patient demand for medication, nurse attitudes toward sleep medications and their use in nursing homes, nurse-patient ratios, drug type and schedule, and nursing home ownership. Six types of data will be collected and analyzed by multidisciplinary team that includes a medical sociologist, a physician, two pharmacists, and a sociologist-social worker. The sources of data include: pharmacy record data, data from medical/nursing records, a nurse questionnaire, systematic observation of evening nurses, a post-observational interview with the nurse, and a survey of nursing home administrators. Since there are few scientific studies that examine nurse decision-making regarding sleep medication, this study should be of considerable interest to members of various health professions as well as specialists in gerontology and medical sociology.

本研究的主要目的是：(A)说明下列情况的性质和范围 居住在18个技能城市的老年男性和女性的睡眠药物使用情况 护理设施；(B)确定比率之间的关系 护士管理和各种医疗、社会、心理和 可能影响护士决策的情景因素；及(C) 确定养老院所有权是否以及如何与 服用安眠药。 该理论框架同时考虑了社会和医学因素， 包括：患者特征、患者需求水平 用药、护士对安眠药的态度及其在 疗养院、护患比例、药物种类和时间表，以及护理 自置居所。 多学科团队将收集和分析六种类型的数据 其中包括一名医学社会学家、一名内科医生、两名药剂师和一名 社会学家-社会工作者。数据来源包括：药房记录 数据、医疗/护理记录中的数据、护士问卷、系统化 对夜班护士的观察，观察后对 护士，以及对养老院管理人员的调查。 由于考察护士决策的科学研究很少 关于安眠药，这项研究应该有相当大的兴趣 致各卫生专业人士及医疗专家 老年学和医学社会学。