住院患者认知障碍识别和信息管理的整合性综述OA北大核心CSTPCD
目的旨在对目前提供急性照护的医院识别认知障碍患者以及在病历中记录和管理认知相关信息的实际情况及政策要求和推荐方法进行综述。方 法采用Whittemore和Knaf1的五步法,系统检索Medline,CINAHL和Scopus数据库,并检索了灰色文献来源。纳人了提供急性照护的医院已实施的患者认知障碍识别和认知信息管理相关的文献。采用混合方法评价工具和灰色文献质量评估清单对文章质量进行评价。采用主题分析法呈现和整合结果。该综述已在PROSPERO预注册(CRD42022343577)。结果 共22篇原始研究文献和10篇政府/行业文件被纳人分析。结果显示,实践和政策之间存在差距。尽管在政策层面上高度重视认知障碍的识别、认知相关信息的透明度,以及与患者、家属和照顾者(如适用)之间的互动,但有时在临床实践中,认知评估是非正式的,患者的认知相关信息未作记录,与患者、家属和照顾者的互动也存在不足。结 论.通过整合认知评估,利用信息技术开发信息管理综合系统,建立相关法律法规,提供教育与和培训,并采用国家层面的策略,有可能显著改善对认知障碍患者的识别和护理。
熊蓓蓓;Daniel X.Bailey;Paul Prudon;Elaine M.Pascoe;Leonard C.Gray;Frederick Graham;Amanda Henderson;Melinda Martin-Khan;
Centre for Health Services Research,Faculty of Medicine,The University of Queensland,Brisbane,AustraliaCentre for Health Services Research,Faculty of Medicine,The University of Queensland,Brisbane,Australia Centre for Clinical Research,Faculty of Medicine,The University of Queensland,Royal Brisbane&Women’s Hospital,Brisbane,AustraliaCentre for Health Services Research,Faculty of Medicine,The University of Queensland,Brisbane,Australia Dementia and Delirium,Division of Medicine,Princess Alexandra Hospital,Brisbane,Australia School of Nursing,Faculty of Health,Queensland University of Technology,Brisbane,AustraliaCentre for Health Services Research,Faculty of Medicine,The University of Queensland,Brisbane,Australia Nursing Practice Development Unit,Princess Alexandra Hospital,Brisbane,Australia School of Nursing,Midwifery and Social Sciences,Central Queensland University,Brisbane,Australia Griffith Health,Griffith University,Brisbane,Australia School of Nursing,Midwifery and Paramedicine,The University of the Sunshine Coast,Brisbane,AustraliaCentre for Health Services Research,Faculty of Medicine,The University of Queensland,Brisbane,Australia Department of Health and Life Sciences,University of Exeter,Exeter,United Kingdom School of Nursing,University of Northern British Columbia,Prince George,Canada
临床医学
急性照护认知功能障碍数据透明度谵妄痴呆健康信息管理与患者互动.
《International Journal of Nursing Sciences》 2024 (001)
P.120-132 / 13
the project“Improving quality of care for people with dementia in the acute care setting(eQC)”which is funded by the National Health and Medical Research Council(NHMRC)of the Australian Government(ID:APP1140459).
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