为心脏手术做准备:一项横截面研究,确定门诊患者对以患者为中心的护理的看法和经验之间的差距
Kristy Fakes1,2, Trent Williams3,4, Nicholas Collins2,3,5
1Health Behaviour Research Collaborative, School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, 2308, Australia.
概括
接受心脏导管治疗的患者发现了基本护理方面的差距,特别是关于准备,预后和随访. 实际收到的护理并不总是符合患者对心血管程序的期望.
科学领域:
- 心脏病学 心脏病学
- 患者护理质量 患者护理质量
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患者对基本护理的看法对于改善心血管医学的质量至关重要.
- 了解心脏手术后的患者经历,突出了改善服务的领域.
研究的目的:
- 确定患者感知到的基本护理与他们在心脏导管术后的实际经历之间的差异.
- 确定心血管服务中以患者为中心的护理中的特定差距.
主要方法:
- 一项涉及心脏导管治疗的门诊患者的横截面调查研究.
- 参与者通过单独的调查来评价护理方面的重要性和他们对接受护理的经验.
- 缺口被定义为 >=80%的患者认可的但 <80%接受的基本护理项目.
主要成果:
- 超过80%的患者认为65个护理方面中有43个是必不可少的.
- 在22个基本护理项目中发现了显著的缺口.
- 确定的缺陷包括全科医生咨询,准备,治疗决策,预后沟通和治疗后跟踪.
结论:
- 对心脏导管患者的实际护理在几个关键领域落后于他们的期望.
- 解决这些已识别的差距可以改善以患者为中心的心血管保健.
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