增强COPD患者出院干预措施的潜在影响:定性系统性审查
Torbjørn Nygård1, David Wright2, Hamde Nazar3
1Department of Clinical Science, University of Bergen, P.O. box 7804, 5020, Bergen, Norway. Torbjorn.Nygard@uib.no.
BMC health services research
|June 22, 2023
概括
优化慢性阻塞性肺病 (COPD) 重新入院的干预措施至关重要. 量身定制的患者信息和解决过渡挑战可以改善结果并减少住院治疗.
科学领域:
- 医疗保健干预措施 医疗保健干预措施
- 肺部医学 肺部医学
- 患者过渡管理的管理.
背景情况:
- 慢性阻塞性肺病 (COPD) 的高再入院率带来了大量的医疗保健费用.
- 减少COPD再住院的现有干预措施的有效性证据有限.
- 建议改进干预设计,以提高患者的治疗结果.
研究的目的:
- 确定现有干预措施的优化领域,旨在减少COPD再入院.
- 为了为COPD患者退院的更有效的未来干预措施的开发提供信息.
主要方法:
- 在2022年6月,通过搜索多个数据库 (Medline,Embase,CINAHL,PsycINFO,CENTRAL) 进行了系统审查.
- 包括专注于COPD患者从医院转移到家庭/社区的干预措施的研究.
- 使用主题综合分析了9项纳入研究的结果,使用CASP工具进行质量评估.
主要成果:
- 患有COPD的患者在从医院到家庭过渡期间面临重大挑战.
- 干预措施必须促进顺利的过渡,并提供放弃后的适当后续行动.
- 根据患者个体需求提供信息的定制对于干预的有效性至关重要.
结论:
- 很少有研究涉及COPD豁免干预的实施过程.
- 解决与过渡有关的问题是有效实施干预的先决条件.
- 个性化患者信息和可行性测试可以提高干预措施的可接受性和有效性.
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