Effects of alternative interventions among hospitalized, cognitively impaired older adults

被引：17
|
作者：
Naylor, Mary D. [1 ,2 ]
Hirschman, Karen B. [1 ,2 ]
Hanlon, Alexandra L. [1 ,2 ]
Bowles, Kathryn H. [2 ,3 ]
Bradway, Christine [2 ,3 ]
McCauley, Kathleen M. [1 ,2 ]
Pauly, Mark V. [4 ]
机构：
[1] Univ Penn, Sch Nursing, New Courtland Ctr Transit & Hlth, Philadelphia, PA 19104 USA
[2] Univ Penn, Sch Nursing, 418 Curie Blvd, Philadelphia, PA 19104 USA
[3] Univ Penn, Sch Nursing, CISA, Philadelphia, PA 19104 USA
[4] Univ Penn, Wharton Sch, Philadelphia, PA 19104 USA
来源：
JOURNAL OF COMPARATIVE EFFECTIVENESS RESEARCH | 2016年 / 5卷 / 03期
关键词：
cognitive impairment; dementia; evidence-based interventions; rehospitalizations; CONFUSION ASSESSMENT METHOD; TRANSITIONAL CARE; HEART-FAILURE; DELIRIUM; DISCHARGE; DEPRESSION; DEMENTIA; SCALE; RISK; RECOVERY;
D O I：
10.2217/cer-2015-0009
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Aim: Compare within site effects of three interventions designed to enhance outcomes of hospitalized cognitively impaired elders. Methods: Prospective, nonrandomized, confirmatory phased study. In Phase I, 183 patients received one of three interventions: augmented standard care (ASC), resource nurse care (RNC) or Transitional Care Model (TCM). In Phase II, 205 patients received the TCM. Results: Time to first rehospitalization or death was longer for the TCM versus ASC group (p = 0.017). Rates for total all-cause rehospitalizations and days were significantly reduced in the TCM versus ASC group (p < 0.001, both). No differences were observed between RNC versus TCM. Conclusion: Findings suggest the TCM is more effective than ASC. However, potential effects of the RNC relative to the TCM warrant further study.
引用
收藏
页码：259 / 272
页数：14
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