{"id":3667,"date":"2024-04-17T19:42:54","date_gmt":"2024-04-17T19:42:54","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=3667"},"modified":"2025-09-02T22:12:40","modified_gmt":"2025-09-02T20:12:40","slug":"reducering-af-genindlaeggelser-blandt-aeldre-medicinske-patienter","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/04\/17\/reducering-af-genindlaeggelser-blandt-aeldre-medicinske-patienter\/","title":{"rendered":"Reducering af genindl\u00e6ggelser blandt \u00e6ldre medicinske patienter"},"content":{"rendered":"

\"\"<\/p>\n

Download som PDF<\/a><\/p>\n

Download BA-projektet her<\/a><\/p>\n

Elise Rino. BA projekt afleveret 04.01.2024 Sygeplejerskeuddannelsen KP K\u00f8benhavn. Vejleder Birgitte Bennich<\/span><\/p>\n

Resum\u00e9<\/span><\/h3>\n

Introduktion:<\/span><\/strong> Antallet af uplanlagte genindl\u00e6ggelser er hyppigt forekommende, s\u00e6rligt blandt \u00e6ldre medicinske patienter, hvor op mod 20 % genindl\u00e6gges inden for 30 dage efter udskrivelse. Disse genindl\u00e6ggelser er essentielle at forebygge, da de er forbundet med nedsat livskvalitet og funktionsniveau samt \u00f8get risiko for mortalitet. Form\u00e5let med opgaven er derfor at unders\u00f8ge, hvilke sygeplejefaglige interventioner, der i forbindelse med udskrivelse fra hospital til eget hjem kan reducere antallet af genindl\u00e6ggelser for den \u00e6ldre medicinske patient.<\/span><\/p>\n

Metode<\/span><\/strong>:<\/strong> I opgaven udf\u00f8res et kvantitativt litteraturstudie til at afd\u00e6kke eksisterende viden p\u00e5 omr\u00e5det. Litteraturs\u00f8gningen blev udf\u00f8rt i databaserne PubMed, Cinahl Complete og Embase. Til analysen af de inkluderede studier anvendes den narrative syntese som metode.<\/span><\/p>\n

Resultater:<\/span><\/strong> I opgaven udv\u00e6lges tre RCT-studier med sygeplejefaglige interventioner relateret til udskrivelse fra hospital til eget hjem. To af de i alt seks interventioner p\u00e5 tv\u00e6rs af studierne havde en statistisk signifikant reducerende effekt p\u00e5 antallet af genindl\u00e6ggelser for \u00e6ldre medicinske patienter.<\/span><\/p>\n

Konklusion:<\/span><\/strong> Dette litteraturstudie peger p\u00e5, at langvarige og systematiske fysiske og telefoniske sygeplejefaglige opf\u00f8lgninger i sig selv og i kombination med fysisk tr\u00e6ning med en fysioterapeut har en reducerende effekt p\u00e5 antallet af genindl\u00e6ggelser for \u00e6ldre medicinske patienter.<\/span><\/p>\n

Implikationer for praksis:<\/span><\/strong> Forebyggelse af genindl\u00e6ggelser blandt \u00e6ldre medicinske patienter er forbundet med stor kompleksitet, og kan anses som et s\u00e5kaldt wicked problem, hvilket afspejler sig i den heterogenitet, der er i litteraturen p\u00e5 omr\u00e5det. Der er derfor relevant, at fremtidig forskning har denne kompleksitet for \u00f8je, n\u00e5r der udvikles og udt\u00e6nkes udskrivelsesinterventioner til \u00e6ldre medicinske patienter.<\/span><\/p>\n

Kontaktoplysninger:
\n<\/span><\/strong>Elise Rino, sygeplejerske. Mail: <\/span>eliserino@hotmail.dk<\/a><\/p>\n

Copenhagen Honours College \u2013 sygeplejerske<\/span><\/strong> (CHC-S)
\n<\/span>Helle Mathar,<\/span> lektor.<\/span> Mail: <\/span>chcsygepleje@kp.dk<\/a>
\nProjektet er st\u00f8ttet af Novo Nordisk Fonden<\/span><\/p>\n

Reducing the numbers of readmissions among elderly medical patients<\/span><\/h1>\n

Download abstract as PDF<\/a><\/p>\n

Abstract<\/span><\/h3>\n

Introduction:<\/span><\/strong> The occurrence of unplanned readmissions is common among elderly medical patients, with up to 20% of patients over 65 being readmitted within 30 days of discharge. These readmissions are critical to prevent, as they are associated with a reduced quality of life and functional level, as well as an increased risk of mortality. The aim of this study is therefore to investigate if nursing intervention can reduce the number of readmissions for elderly medical patients who are discharged from hospital to their own home.<\/span><\/p>\n

Methods:<\/span><\/strong> The present study was a literature review. A systematic search was undertaking in PubMed, Cinahl Complete and Embase. A narrative synthesis was performed.<\/span><\/p>\n

Results:<\/span><\/strong> Three RCT-studies were included in the review. Included studies involved a total of six interventions. Two interventions had a statistically significant effect on the number of readmissions for elderly medical patients.<\/span><\/p>\n

Conclusion:<\/span><\/strong> This literature review indicates that long-term and high-intensity nurse home visits and telephone follow-up as an intervention or in combination with physical exercise have a positive effect on the number of readmissions for elderly medical patients.<\/span><\/p>\n

Relevance to clinical practice:<\/span><\/strong> Preventing readmissions among elderly medical patients is associated with huge complexity and can be considered as a wicked problem, as reflected in the heterogeneity present in the literature on the subject. Therefore, it is relevant for future research to consider this complexity when developing discharge interventions for elderly medical patients.<\/span><\/p>\n

Contact information:
\n<\/span><\/strong>Elise Rino, RN. Mail: <\/span>eliserino@hotmail.dk<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Antallet af uplanlagte genindl\u00e6ggelser er hyppigt forekommende, s\u00e6rligt blandt \u00e6ldre medicinske 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