使用奥马哈系统数据来探索客户结果,表型和有针对性的家庭干预方法之间的关系:对患有循环问题的老年妇女的实践有效性进行实例性检查
Cathy I Schwartz1, Amany Farag1, Karen Dunn Lopez1
1College of Nursing, University of Iowa, USA.
概括
社区护士对有循环问题的老年妇女进行家庭护士访问表明,根据患者表型定制的干预措施可以改善健康结果. 具体的方法,如高监测或均衡的护理,产生更好的结果.
科学领域:
- 社区卫生护理
- 老年人护理医院 老年人护理
- 健康研究成果研究结果
背景情况:
- 改善老年妇女的健康状况是具有挑战性的,因为缺乏针对小组的具体干预措施.
- 结构化的社区护士家庭访问数据可以通过链接客户的结果,表型和干预来揭示实践的有效性.
研究的目的:
- 探索针对性干预方法在社区护理中对有循环问题的老年妇女的有效性.
- 使用结构化数据分析干预策略,患者表型和健康结果之间的关联.
主要方法:
- 利用了奥马哈系统的数据,来自2363名65岁以上的血液循环问题妇女,接受社区护士家庭访问.
- 分析了已识别的表型 (例如,血液循环不良),7种干预方法和客户结果 (知识,行为,状态) 之间的关系.
- 采用描述性分析和并行坐标图方法来根据表型评估干预方法的有效性.
主要成果:
- 干预方法的利用在不同患者表型之间有显著差异.
- 高度监测和均衡干预方法是最常见的.
- 根据使用的干预方法,观察到平均结果得分的显著差异,比例部署模式显示了微小的效果改善.
结论:
- 奥马哈系统有效地支持管理复杂的社区护理数据,用于患有循环问题的老年妇女.
- 这项研究引入了一种新的方法,通过患者表型和有针对性的方法来评估干预的有效性.
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