针对SARS-CoV-2的护理点检测:在初级卫生中心进行前性研究
Rob Daniels1, Juliette Cottin2, Nagham Khanafer3
1Townsend Health Medical Centre, Seaton EX12 2RY, UK.
Diagnostics (Basel, Switzerland)
|June 10, 2023
概括
对SARS-CoV-2的临床检测 (POCT) 显著改善了患者流动,并减少了初级保健中的管理时间. 这种基于核酸放大测试 (NAAT) 的策略是可行的,并得到了患者和医疗保健专业人员的良好接受.
科学领域:
- 主要护理医学 医疗保健
- 传染病诊断 传染病诊断 传染病诊断
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着COVID-19的流行,医疗保健的快速变化变得越来越重要,强调了减少暴露风险的策略.
- 护理点检测 (POCT) 对于管理大流行变得至关重要,特别是在初级保健机构.
- 评估POCT对维持外科预约和管理效率的影响至关重要.
研究的目的:
- 通过减少预约前测试延迟,评估POCT战略对维持选择性手术的影响.
- 评估POCT对端到端预约管理所花费的时间的影响.
- 确定患者和医疗保健专业人员在手术前预约中接受ID NOW® POCT的可行性和接受性.
主要方法:
- 后勤回归确定了与取消或延迟手术和预约相关的因素.
- 多变量线性回归分析了行政任务时间的变化.
- 一个调查问卷评估了患者和工作人员接受POCT.
主要成果:
- 在常规护理和POCT组之间,取消/延迟预约或手术没有显著差异.
- POCT显著减少了24.7分钟的管理时间 (p < 0.001).
- 患者对未来POCT的接受率高 (96.6%),压力和旅行时间减少;提供者发现POCT改善了工作流程.
结论:
- 基于核酸放大测试 (NAAT) 的SARS-CoV-2 POCT显著增强了初级保健中的流量管理.
- POCT被证明是一个可行的,在患者和医疗保健提供者中得到高度接受的策略.
- 该研究支持将POCT整合到常规的初级保健中,以提高效率和患者体验.
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