An advanced practice nurse-led delirium consultation service reduces delirium severity and length of stay in orthopedic patients: A nonrandomized posttest only evaluation study

被引：9

作者：

Weber, Christa ^{[1
]}

Fierz, Katharina ^{[2
]}

Katapodi, Maria ^{[3
]}

Hasemann, Wolfgang ^{[4
,5
]}

机构：

[1] Univ Hosp Bern, Dept Orthoped & Traumatol, Bern, Switzerland

[2] ZHAW Zurich Univ Appl Sci, Inst Nursing, Sch Hlth Profess, Winterthur, Switzerland

[3] Univ Basel, Inst Nursing Sci, Dept Publ Hlth, Basel, Switzerland

[4] Univ Hosp Basel, Dept Nursing & Allied Hlth Profess, Practice Dev Unit, Basel, Switzerland

[5] Univ Dept Geriatr Med FELIX PLATTER, Burgfelderstr 101, CH-4055 Basel, Switzerland

来源：

PERSPECTIVES IN PSYCHIATRIC CARE | 2020年 / 56卷 / 04期

关键词：

advanced practice nursing; delirium; nurse clinicians; professional competence; referral and consultation; retrospective studies; OBSERVATION SCREENING SCALE; HOSPITALIZED OLDER PATIENTS; HIP-FRACTURE; INTERVENTIONS; CARE;

D O I：

10.1111/ppc.12495

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Purpose Delirium is an acute neuropsychiatric disorder and is a common and serious complication during hospitalization for older people. This study evaluated the value of an advanced practice nurse (APN)-led delirium consultation service on patient outcomes Design and Methods This was a retrospective chart review of 137 patients over 65 years, hospitalized between 2012 and 2015 in a tertiary care setting in Switzerland, who underwent orthopedic surgery and experienced delirium. Findings Of the 137 eligible patients, 53 received the delirium consultation service and 84 received the standard care. The group receiving "early" delirium consultation experienced significantly reduced delirium severity over the course of time and the shortest length of stay. Practice Implications The APN-led delirium consultation service had a positive effect on patient outcomes.

引用

页码：804 / 810

页数：7