在认可计划中对COPD患者进行结构化评估和管理
Mandeep Singh1, En Shuo Hsu2, Efstathia Polychronopoulou2
1Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas, United States.
Chronic obstructive pulmonary diseases (Miami, Fla.)
|July 14, 2023
概括
疾病特异性诊所显著减少了慢性阻塞性肺病 (COPD) 患者的急诊室访问和住院治疗. 这突显了专业慢性病管理计划对COPD护理的好处.
科学领域:
- 肺部医学 肺部医学
- 医疗保健服务研究 医疗服务研究
- 慢性疾病管理 慢性疾病管理
背景情况:
- 慢性阻塞性肺病 (COPD) 被认为是一种对门诊护理敏感的疾病.
- 有效的管理策略对于减少医疗保健利用率和改善患者治疗结果至关重要.
- 护理模式的变化可能会影响COPD患者的健康结果.
研究的目的:
- 为了比较COPD患者在认可的疾病特异性诊所与初级保健诊所所接受的护理的影响.
- 评估医疗保健利用的差异,特别是急诊室 (ED) 访问和住院.
- 评估在专门诊所实施的慢性疾病管理计划的有效性.
主要方法:
- 一项观察性研究比较了来自特定疾病诊所的1114名患者和来自学术卫生系统内的初级保健诊所的3532名患者 (2014年4月至2018年3月).
- 纳入标准:40岁以上的COPD患者,每隔30天就诊2次以上.
- 使用倾向匹配和考克斯回归分析来比较第一次急救诊所和住院的时间.
主要成果:
- 特定疾病诊所的患者更频繁地完成了绩效测量.
- 与初级保健组相比,在疾病特异性组中观察到ED访问 (HR=0.31) 和住院 (HR=0.41) 的比例明显较低.
- 该研究包括一个以女性为主 (58.8%),非西班牙裔白人 (74.2%) 的人口,平均年龄为65.4岁,包括现有或前吸烟者.
结论:
- 通过经认可的特定疾病诊所实施慢性疾病管理计划与COPD患者因任何原因的ED访问和住院治疗减少有关.
- 专业护理模式可能在管理COPD等门诊护理敏感疾病方面具有优势.
- 这表明,特定疾病的诊所可以提高护理效率,减少COPD管理的急性医疗保健发作.
关键词:
慢性慢性肺炎是一种慢性慢性肺炎,COPD是一种慢性肺炎.联合委员会联合委员会认证是指认证机构的认证.慢性疾病管理 慢性疾病管理紧急部门使用急诊室.医疗保健利用率 医疗保健利用率住院治疗 住院治疗更多相关视频
相关概念视频
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
4.0K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
4.0K
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.6K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.6K
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
01:26COPD: Management Using Bronchodilators and Corticosteroids
249
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
249
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
2.8K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.8K
01:22Chronic Obstructive Pulmonary Disease
1.3K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.3K