Descriptive Study of Emergency Room Visits From Nursing Home Residents for Behavioral Problems at the Nancy University Hospital: Place of the Advanced Practice Nurse
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 4,000
- 试验地点
- 1
- 主要终点
- Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period
研究概览
简要总结
The demographic evolution of old age is a reality. After the age of 75, 2 out of 3 people living in institutions have neurocognitive disorders. Behavioural disorders such as physical aggression, agitation, hallucinations, sleep disorders, generate difficulties in the management of these patients and lead to unscheduled emergency hospitalizations. Non-pharmacological management of behavioral disorders is recommended as a first-line treatment because of its low risk and potential improvement (Haute Autorité de Santé 2009). However, this management is not simple and obvious to put in place, especially since not all elderly people with Behavioural disorders are in adapted structures. The advanced practice nurse specializing in geriatrics has a place in this care pathway. Because of her skills, she could "organize multi-professional care, set up analyses of practices within the nursing homes, train caregivers appropriately, and limit hospitalizations due to behavioral problems" (SALIEGE L. 2020). Advanced practice nursing is in its infancy in France, and everything remains to be done (International Council of Nurses- directive). The aim of the study is to identify the number of emergency room visits by people aged 75 and over for behavioral problems in nursing home during a 6 month-period.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 75 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Person who has received full information on the organization of the research and has not objected to the use of this data
- •Elderly men and women 75 years of age and older at the time of the emergency room visit
- •Having for main residence one of the nursing homes of the Grand Nancy
- •Administratively present in the emergency department
- •Having been admitted to the emergency room for the following reasons:
- •Behavioural problems
- •Agitation
- •Disorientation
排除标准
- •People under 75 years of age
- •Residing at home or in a senior residence or in a nursing home outside Grand Nancy
- •Referred by an inpatient department (rehabilitation department)
- •Other reasons for emergency room use such as "depression" and "apathy
结局指标
主要结局
Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period
时间窗: through study completion, an average of 6 months
Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period
次要结局
- Number of iterative passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period(through study completion, an average of 6 months)
- Age of the patients(through study completion, an average of 6 months)
- Presence of previous medical cognitive disorder(through study completion, an average of 6 months)
- Length of stay at emergency room(through study completion, an average of 6 months)
- Referral after visit at emergency room(through study completion, an average of 6 months)
- Gender of the patients(through study completion, an average of 6 months)
- Name of nursing home of origin(through study completion, an average of 6 months)
- Presence of intervention of geriatric mobile team(through study completion, an average of 6 months)
研究者
Bernadette HANESSE
MD
Central Hospital, Nancy, France