Predictors of Nonpharmacological and Pharmacological Treatments Stopped and Started among Nursing Home Residents with Dementia

被引：3

作者：

Simpson, Michelle R. ^{[1
]}

Kovach, Christine R. ^{[1
]}

Stetzer, Frank ^{[1
]}

机构：

[1] Univ Wisconsin, Milwaukee, WI 53201 USA

来源：

RESEARCH IN GERONTOLOGICAL NURSING | 2012年 / 5卷 / 02期

基金：

美国国家卫生研究院;

关键词：

MEDICATION USE; INTERVENTION; BEHAVIOR; CARE; POLYPHARMACY; AGITATION; QUALITY; PEOPLE; TIME;

D O I：

10.3928/19404921-20110831-01

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

The purpose of this study was to describe the nonpharmacological and pharmacological treatments stopped and started over 6 weeks among a sample of nursing home residents with moderate to severe dementia and to identify nurse and resident factors associated with starting new and stopping ineffective/unnecessary nonpharmacological and pharmacological treatments. One hundred thirty-four nursing home residents with dementia and 39 nurses from 12 nursing homes in the Midwest participated in this study. Resident and nursing process data were collected on daily tracking forms completed by the primary nurse over a 6-week period. Both assessment-driven intervention and evaluation-driven follow through significantly predicted treatments stopped and new treatments started. The findings demonstrate that nurses serve an essential role in maintaining resident physiological and psychological homeostasis by vigilantly responding to residents' physical problems and behaviors with assessment-driven intervention and evaluation-driven follow through.

引用

页码：130 / 137

页数：8

共 38 条

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