Achieving restraint-free care of acutely confused older adults.
Achieving restraint-free care of acutely confused older adults.
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实现对严重困惑的老年人的无约束护理。
DOI：
10.3928/0098-9134-20010401-11
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发表时间：
2001
影响因子：
1.3
通讯作者：
E. Sullivan
中科院分区：
文献类型：
--
作者：
E. Sullivan
无约束护理已成为所有环境中老年人优质护理的指标。实现这一目标最困难的挑战是护理功能依赖和认知受损的住院老年人。本文的目的是报告的结果，从一个描述性研究的限制髋部骨折患者，并讨论的方法，以实现无限制护理。在20家大都市教学医院的11年期间，住院髋部骨折患者的约束使用率为33.2%。限制患者是住院前居住在疗养院的老年男性。在临床上，被诊断为痴呆症的患者被护理人员注意到感到困惑或迷失方向，并且依赖于日常生活活动。个性化的护理方法是避免对急性意识模糊和认知障碍患者使用身体限制的最佳方法。
Restraint-free care has emerged as an indicator of quality care for older adults in all settings. The most difficult challenges to achieving this goal are care of hospitalized older adults who are functionally dependent and cognitively impaired. The purpose of this article is to report findings from a descriptive study of restrained hip fracture patients, and discuss approaches to achieving restraint-free care. Rate of restraint use was 33.2% among hospitalized hip fracture patients during an 11-year period in 20 metropolitan teaching hospitals. Restrained patients were older men who resided in nursing homes prior to hospitalization. Clinically, restrained patients had a diagnosis of dementia, were noted to be confused or disoriented by nursing staff, and were dependent in activities of daily living. An individualized approach to care is the best method to avoid use of physical restraints for patients with acute confusion and cognitive impairment.
影响因子：
158.5
作者：
Inouye, SK;Bogardus, ST;Cooney, LW
通讯作者：
Cooney, LW