在COVID-19疫情期间开发和提供混合心脏康复II期炼计划:质量改进计划
Javier Loureiro Diaz1, Liam David Foster2, Praveen Jayaprabha Surendran3
1Cardiac Rehabilitation Department, Heart Hospital, Hamad Medical Corporation, Doha, Qatar JLOUREIRODIAZ@GMAIL.COM.
BMJ open quality
|May 31, 2023
概括
混合心脏康复II期炼计划 (HCRP2-EP) 在COVID-19期间成功地继续患者护理,实现了高招生率和患者满意度. 这种有效和安全的模型改善了心血管疾病患者的状况.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 提高质量 提高质量
背景情况:
- 由于COVID-19大流行,全球大约75%的心脏康复 (CR) 计划受到干扰,其中包括2020年3月开始的卡塔尔第二阶段CR (CRP2) 服务.
- 之前的研究表明,混合CR模型提供了安全性,有效性,成本降低和更好的参与.
- 一个多学科的团队试图通过实施替代的交付模式来维持患者的护理.
研究的目的:
- 实施混合CRP2练习计划 (HCRP2-EP),以确保患者的持续护理.
- 到2020年9月30日,为符合条件的患者实现70%的入学率.
- 评估HCRP2-EP的可行性,有效性和安全性.
主要方法:
- 采用了卫生保健改进研究所的协作模式.
- 利用多个计划-做-学习-行动循环进行代测试和改进变化想法.
- 分析项目结果,使用标准运行图规则来跟踪随时间的变化.
主要成果:
- 从2020年8月到2021年4月,持续的月均患者入学率超过了70%的目标.
- 在完成HCRP2-EP的男性患者中,75.8%的男性患者在峰值运动能力 (平均变化17%±6%) 中表现出显著改善 (≥10%).
- 实现了96%的患者满意度得分中位数,超过了90%的机构目标,没有报告重大不良事件.
结论:
- 一个精心设计的质量改进计划是在临床环境中实施混合CRII期炼计划的合适策略.
- 对于符合条件的男性心血管疾病患者来说,HCRP2-EP是一种可行,有效和安全的干预措施.
- 混合型号确保在公共卫生危机期间确保基本心脏康复服务的连续性.
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