多因素评估和多学科干预防治老年住院患者谵妄的效果评
价
吕继辉;陈峥;李翔;李文杰;蔡郁;郝智慧;姬长珍;母海艳;李沫
【期刊名称】《中华老年医学杂志》 【年(卷),期】2015(034)012
【摘要】Objective To explore the effectiveness evaluation of multiple discipline intervention for delirium diagnosis and treatment in elderly inpatients.Methods A total of 429 elderly inpatients were assessed by the multiple risk factors.123 of them were with moderate or high risk for delirium and they were randomly divided into two groups: the intervention group (n=61) received a systematic multi-factor intervention
of
medical,
nursing,
nutritional,
pharmacological
intervention and care education, and the control group (n =62) received routine medical care without any special intervention.The incidence, severity (DRS-R-98), treatment (sedative, antipsychotic medications, physical restraint), and prognosis (complications, duration of delirium, mortality) of delirium were recorded.Results Less patients developed delirium in the intervention group (49.2％, 30/61) than in control (67.7％, 42/62) x2 =4.37, P=0.040).Length of stay in hospital was less in the intervention group than in control group [(18.6±6.7)d vs.(24.2±8.8)d, (t=3.18, P=0.020)].Less delirious patients were prescribed sedatives in the intervention group (13.3％, 4/30) than in control (35.7％, 15/42) x2
多因素评估和多学科干预防治老年住院患者谵妄的效果评价
