کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2656218 1563983 2015 8 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله ISI
Delirium detection and improved delirium management in older patients hospitalized for hip fracture
ترجمه فارسی عنوان
تشخیص هذیان و بهبود مدیریت هذیان در افراد مسن در بیمارستان بستری برای شکستگی لگن
کلمات کلیدی
دلیری؛ مسن تر؛ بیمارستان؛ بیماران مبتلا به شکستگی لگن پس از عمل؛ پروتکل
موضوعات مرتبط
علوم پزشکی و سلامت پرستاری و مشاغل بهداشتی پرستاری
چکیده انگلیسی

Delirium is a common and potentially devastating problem for older patients following hip fracture. Although early detection is recommended, description and evaluation of standardized approaches are scarce. The aims of this quality improvement project were to: (1) implement a clinical algorithm for improving delirium detection and management and (2) assess the impact of the clinical algorithm on length of stay, discharge disposition and patient satisfaction. The pilot study was implemented on an orthopedic unit to evaluate the effectiveness of a clinical protocol for delirium detection and management to improve outcomes. Outcomes of 33 elderly post-operative hip fracture patients were compared to historical controls from the same unit. Delirium was detected in 18% of patients. Length of stay was reduced by 22% (P < .001), discharge disposition showed a 13% improvement (P = .17) and patient satisfaction scores showed a 15% (P = .15) improvement post-intervention. Implementation of a clinical algorithm to promote early detection and treatment of delirium in post-operative hip fracture patients is feasible and associated with improved outcomes.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Orthopaedic and Trauma Nursing - Volume 19, Issue 4, November 2015, Pages 214–221
نویسندگان
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