摘要
上海国家会展中心方舱医院收治的新型冠状病毒肺炎(COVID-19)患者中有大量的老年人。老年患者是脆弱群体,多合并有基础疾病,向普通型和重型COVID-19转化的概率高,容易出现高血压和糖尿病急性并发症。且老年人生活自理能力降低,发生碰撞、跌倒等不良事件概率增加。针对上述问题,我们开展了老年医学特色技术——老年综合评估(CGA),以加强方舱医院内老年COVID-19患者的医疗安全。通过设计老年综合评估量表,由老年患者入院时扫码填写,统计并分析数据,筛查出存在安全隐患的高危人群,制定个体化方案和一系列整体干预措施,提早预防。采用CGA干预后,舱内老年患者不良事件发生率显著降低,无医疗安全事故发生。同时,在评估和干预过程中,对患者进行了COVID-19和慢病管理的健康宣教,使老年患者得到了更好的医疗照护,促进了病情缓解,加快了康复出院。因此,在方舱医院开展CGA,具有十分重要的临床意义和使用价值,值得推广。
There are a large number of elderly patients with coronavirus disease 2019(COVID-19)in the Fangcang shelter hospital of National Exhibition and Convention Center(Shanghai).Elderly patients are a vulnerable group,most of whom have underlying diseases.They have a high probability of transforming from asymptomatic and mild COVID-19 into ordinary and severe COVID-19.Acute complications of hypertension and diabetes increase in the elderly.Adverse events such as collisions and falls have increased because of their reduced self-care ability.In view of the above problems,we have carried out comprehensive geriatric assessment(CGA),a geriatric characteristic technology,to strengthen the medical safety of elderly COVID-19 patients in the Fangcang shelter hospital.By designing a CGA scale for the elderly,the questions were answered when they were admitted to hospital,and the data were collected and analyzed.The high-risk groups with potential safety hazards were screen out.A series of targeted interventions and holistic measures were formulated to prevent adverse events in advance.After CGA intervention,the incidence of adverse events in elderly patients significantly reduced.At the same time,in the process of assessment and intervention,health education on the management of COVID-19 and chronic diseases has been carried out for elderly patients,which enabled them to receive better medical care,improve symptom relief,speed up recovery and discharge from hospital.Therefore,carrying out CGA in Fangcang shelter hospitals has very important clinical significance and application value,which is worthy of promotion.
作者
苏慧
周旋
张航向
刘帆
曹锦萍
王丹
王晓明
SU Hui;ZHOU Xuan;ZHANG Hangxiang;LIU Fan;CAO Jinping;WANG Dan;WANG Xiaoming(First Unit,Third Branch of Fangcang Shelter Hospital of National Exhibition and Convention Center,Shanghai 201702,China;Department of Geriatrics,Xijing Hospital,Air Force Medical University,Xi'an 710032,China;Fourth Unit,Third Branch of Fangcang Shelter Hospital of National Exhibition and Convention Center,Shanghai 201702,China;Department of Traditional Chinese Medicine,Xijing Hospital,Air Force Medical University,Xi'an 710032,China)
出处
《医学争鸣》
CAS
2022年第S01期19-21,共3页
Negative
基金
空军军医大学西京医院援沪医疗队科研专项课题(2022XJZT-YH17)
