PDF(Pubmed)
Abstract：
UNASSIGNED: Studies on agitation in internal medicine departments are scarce, especially regarding how doctors and nurses act in these situations. The objective of this study was to clarify how agitation is dealt with in these departments.
UNASSIGNED: This prospective observational study was performed in the internal medicine departments of four Portuguese hospitals. The researchers at each hospital contacted the nursing team that identifies patients who were agitated in the previous shifts. The researcher reviewed these patients\' files, recording the research protocol\'s parameters.
UNASSIGNED: During the study period, 331 patients were observed; 177 (54%) were female, and the median age was 80 years (19-99). Episodes of agitation occurred in 69 patients (21%); of them, 44 (64%) were female, and the median age was 84 years (31-98). In the first episode of agitation, the doctor on duty was called in 49 times (71%). These doctors prescribed a new medication for the crisis in 30 cases (43%). After the crisis, the assistant doctor recorded the episode in the patient file in 41 cases (59%). According to the medical notes, after the acute phase, in only 21 patients (30%), there was an attempt to clarify the cause of agitation. The prescription after the crisis was regular medication in 32 cases (46%), rescue medication in 27 (39%), and physical restraint in 9 (13%), isolated or in various combinations.
UNASSIGNED: This study suggests that there is room to improve how agitated patients are managed in internal medicine departments.
UNASSIGNED: This prospective observational study was performed in the internal medicine departments of four Portuguese hospitals. The researchers at each hospital contacted the nursing team that identifies patients who were agitated in the previous shifts. The researcher reviewed these patients\' files, recording the research protocol\'s parameters.
UNASSIGNED: During the study period, 331 patients were observed; 177 (54%) were female, and the median age was 80 years (19-99). Episodes of agitation occurred in 69 patients (21%); of them, 44 (64%) were female, and the median age was 84 years (31-98). In the first episode of agitation, the doctor on duty was called in 49 times (71%). These doctors prescribed a new medication for the crisis in 30 cases (43%). After the crisis, the assistant doctor recorded the episode in the patient file in 41 cases (59%). According to the medical notes, after the acute phase, in only 21 patients (30%), there was an attempt to clarify the cause of agitation. The prescription after the crisis was regular medication in 32 cases (46%), rescue medication in 27 (39%), and physical restraint in 9 (13%), isolated or in various combinations.
UNASSIGNED: This study suggests that there is room to improve how agitated patients are managed in internal medicine departments.
摘要：
■关于内科躁动的研究很少，特别是关于医生和护士在这些情况下的行为。这项研究的目的是阐明这些部门如何处理躁动。
■这项前瞻性观察性研究是在四家葡萄牙医院的内科进行的。每家医院的研究人员都联系了护理团队，该团队确定了在先前轮班中激动的患者。研究人员回顾了这些病人的档案,记录研究协议的参数。
■在研究期间，观察到331例患者；177例（54％）为女性，中位年龄为80岁(19-99岁)。69例患者（21%）发生躁动发作；其中，44（64%）为女性，中位年龄为84岁（31-98岁）。在激动的第一集中，值班医生被召集了49次（71％）。这些医生为30例（43％）的危机开了新药。危机之后,助理医生在41例(59%)的病人档案中记录了这一事件。根据医疗记录，在急性期之后,只有21名患者(30%)，有人试图澄清激动的原因。危机后的处方是32例（46％）的常规药物，27人(39%)的抢救药物，9人(13%)的身体克制，孤立或各种组合。
■这项研究表明，在内科治疗中，躁动的患者还有改善的空间。
■这项前瞻性观察性研究是在四家葡萄牙医院的内科进行的。每家医院的研究人员都联系了护理团队，该团队确定了在先前轮班中激动的患者。研究人员回顾了这些病人的档案,记录研究协议的参数。
■在研究期间，观察到331例患者；177例（54％）为女性，中位年龄为80岁(19-99岁)。69例患者（21%）发生躁动发作；其中，44（64%）为女性，中位年龄为84岁（31-98岁）。在激动的第一集中，值班医生被召集了49次（71％）。这些医生为30例（43％）的危机开了新药。危机之后,助理医生在41例(59%)的病人档案中记录了这一事件。根据医疗记录，在急性期之后,只有21名患者(30%)，有人试图澄清激动的原因。危机后的处方是32例（46％）的常规药物，27人(39%)的抢救药物，9人(13%)的身体克制，孤立或各种组合。
■这项研究表明，在内科治疗中，躁动的患者还有改善的空间。
