基于急诊室的息护理扩展计划对医院和患者结果的评估
Kalpana Narayan Shankar1, Julianne Dugas2, Sorraya Jaiprasert3
1Brigham and Women's Hospital, Department of Emergency Medicine, Boston, Massachusetts.
The western journal of emergency medicine
|June 6, 2023
概括
在急诊部 (ED) 的早期息护理减少了重症监护室 (ICU) 的入院率和危急COVID-19患者的住院时间. 这种方法改善了患者的治疗结果和资源使用.
科学领域:
- 医学研究 医学研究
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 波士顿医疗中心是一家安全网医院,由于健康差异,在COVID-19患者中观察到高发病率和死亡率.
- 在危机期间,实施了息护理扩展计划,以支持危急病重症急诊室 (ED) 患者.
- 这项研究旨在比较ED开始的息护理与住院治疗的结果.
研究的目的:
- 评估急诊室 (ED) 早期息护理咨询对患者结果的影响.
- 为了比较在ED接受息治疗的患者与作为住院患者或在重症监护室 (ICU) 接受息治疗的患者的资源利用情况.
主要方法:
- 采用了一种匹配的回顾性队列研究设计.
- 在ED接受息治疗的患者和作为住院患者接受息治疗的患者之间的结果进行了比较.
主要成果:
- 82名患者在ED接受了息治疗,317名患者在住院接受了息治疗.
- 患有ED的息护理患者不太可能经历护理水平或ICU入院的变化 (P<0.001).
- 与住院息护理患者 (9.9天) 相比,ED息护理患者的平均逗留时间明显较短 (5.2天) (P<0.001).
结论:
- 在繁忙的ED中启动息护理讨论是可行的和有益的.
- 在ED的专家早期的息护理咨询改善了患者和家庭的结果.
- 这种方法提高了医院系统内的资源利用率.
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