台湾创伤患者病例管理的影响:一项随机长度研究
Chang-Chiao Hung1, Hsueh-Fen S Kao, Sarah Y Jimenez
1Department of Nursing & Nursing Department, Chang Gung University of Science and Technology & Chia-Yi Chang Gung Memorial Hospital, ChiaYi, Taiwan (Dr Hung); College of Nursing, The University of Texas at El Paso, El Paso (Drs Kao and Jimenez); and College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan (Mr Tonapa and Dr Lee).
概括
病例管理改善了创伤患者的疾病感知和应对策略,直到出院后的九个月. 然而,它并没有显著提高他们的生活质量,这表明需要长期战略.
科学领域:
- 创伤护理的护理人员.
- 康复医学是康复的医学.
- 医疗服务研究 医疗服务研究
背景情况:
- 病例管理可以提高创伤患者在急性和康复阶段的治疗结果.
- 有限的证据阻碍了病例管理研究在创伤护理中的临床应用.
研究的目的:
- 评估病例管理对创伤患者疾病感知,应对策略和生活质量的影响.
主要方法:
- 采用了四个测量波的纵向实验设计.
- 创伤患者被随机分配到病例管理或通常护理组.
- 患者对疾病的感知,应对策略和生活质量在基线和出院后的3,6和9个月被评估.
主要成果:
- 与对照组相比,病例管理组在3个月和6个月的疾病感知和在出院6个月和9个月后的应对策略显著改善.
- 在九个月的时间里,两组之间没有观察到生活质量的显著差异.
结论:
- 病例管理显示出减少疾病感知和改善创伤幸存者的应对机制的潜力.
- 该研究没有发现出院9个月后生活质量有显著改善.
- 对于高风险创伤患者,建议采用长期病例管理策略.
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