Aim This Quality Improvement Project (QIP) addressed the pressing need for increased awareness of delirium among patients’ relatives. With a 26% rise in the elderly population in Cambridgeshire, surpassing the 18.6% national average, the project provides crucial information to enhance patients’ relatives access to information about delirium, a condition affecting up to 50% of older hospitalised patients. Method This prospective QIP was conducted across seven Cambridge University Hospital (CUH) geriatric wards. Qualitative surveys determined delirium awareness, understanding, interest and perception of information availability among patients’ relatives with delirium. Measurements included data on the views of online Trust delirium information. Interventions included designing a new eye-catching delirium information poster with a QR code linked to the Trust delirium information leaflet, strategically placing QR code-enabled posters in wards, awareness campaigns targeting healthcare professionals, liaison with the inpatient Dementia team, and targeted communication at Dementia and Delirium Champion training sessions for nursing and healthcare staff. Results Pre- and post-intervention questionnaires, involving 13 relatives visiting these wards, showed a 16%, 10% and 20% respective increase in respondents’ awareness, understanding, and interest in delirium. There was a 29% increase in awareness of location of delirium information post intervention. After the interventions, views of the Trust delirium website increased by 132%. Cycles of the QIP highlighted the importance of laminated posters to comply with infection control measures and the need liaison with ward teams about strategic poster placement. Conclusion this QIP successfully demonstrated the effectiveness of QR code enabled access to patient/relative information and that a multi-faceted approach is required to facilitate effective information provision. We also demonstrated these measures increased delirium awareness in relatives. Future recommendations include continuous monitoring of the availability of posters within clinical areas, content evaluation, and work with the Dementia team to roll this out to all wards with older people within Trust.

中文翻译：

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2275 提高患者亲属对谵妄的认识：养老护理质量提升项目


目的 该质量改进项目 （QIP） 解决了提高患者亲属对谵妄的认识的迫切需求。剑桥郡的老年人口增加了 26%，超过了全国平均水平 18.6%，该项目提供了重要信息，使患者的亲属能够获得有关谵妄的信息，谵妄是一种影响高达 50% 的老年住院患者的疾病。方法 该前瞻性 QIP 在剑桥大学医院 （CUH） 的 7 个老年病房进行。定性调查确定了谵妄患者亲属的谵妄意识、理解、兴趣和对信息可用性的看法。测量包括在线 Trust Delirium 信息视图的数据。干预措施包括设计一张新的引人注目的谵妄信息海报，带有链接到 Trust 谵妄信息传单的二维码，战略性地在病房放置支持二维码的海报，针对医疗保健专业人员的宣传活动，与住院痴呆症团队联络，以及在痴呆症和谵妄冠军培训课程中进行有针对性的沟通护理和医护人员。结果 干预前和干预后问卷涉及 13 名访问这些病房的亲属，显示受访者对谵妄的认识、理解和兴趣分别增加了 16%、10% 和 20%。干预后对谵妄信息位置的认识增加了 29%。干预后，Trust Delirium 网站的浏览量增加了 132%。QIP 的周期强调了层压海报对遵守感染控制措施的重要性，以及与病房团队就战略海报放置进行联络的必要性。 结论该 QIP 成功证明了 QR 码能够访问患者/相关信息的有效性，并且需要多方面的方法来促进有效的信息提供。我们还证明这些措施增加了亲属的谵妄意识。未来的建议包括持续监测临床区域内海报的可用性、内容评估，以及与痴呆症团队合作，将其推广到 Trust 内所有有老年人的病房。