实施基于证据的COPD医院出院协议:叙述性审查和专家建议
Marc Miravitlles1, Mohit Bhutani2, John R Hurst3
1Pneumology Department, Vall d'Hebron University Hospital/Vall d'Hebron Research Institute (VHIR), Vall d'Hebron Barcelona Hospital Campus, Pg. Vall d'Hebron 119-129, 08035, Barcelona, Spain. marcm@separ.es.
Advances in therapy
|August 3, 2023
概括
对慢性阻塞性肺病 (COPD) 实施基于证据的出院包可以减少医院再入院. 关键要素包括戒烟,治疗优化,肺部康复和护理连续性,解决障碍以改善患者的治疗结果.
科学领域:
- 肺部医学 肺部医学
- 医疗保健管理的管理
背景情况:
- 慢性阻塞性肺病 (COPD) 的高再入院率增加了发病率和医疗保健成本.
- 慢性肺炎退院包,患者释放前的基于证据的做法,旨在优化结果并减少再入院.
- 现有证据表明,COPD排放包的有效性是不一致的,这是由于内容和实施的变化.
研究的目的:
- 为COPD恶化提出全面的出院协议,以确保一致的,高质量的护理.
- 审查证据支持COPD释放包的关键元素.
- 识别捆绑实施的障碍和克服这些障碍的策略,从其他疾病领域中汲取.
主要方法:
- 关于COPD护理包和来自其他疾病领域的包的文献综述.
- 确定COPD患者退院的基于证据的护理包项目.
- 对实施障碍的分析以及来自其他领域的成功战略.
主要成果:
- 确定了四个主要的基于证据的出院包项目:戒烟/环境评估,治疗优化,肺部康复和护理连续性.
- 实施的主要障碍包括资源限制,缺乏员工参与/知识,以及患者人口的复杂性.
- 从其他疾病领域的学习,如从业者教育和审计/反,可以解决这些障碍.
结论:
- 一个综合的出院协议,包括具体的基于证据的元素,可以改善COPD患者的治疗结果.
- 通过有针对性的战略解决实施障碍对于有效的捆绑交付至关重要.
- 优化出院包可以降低再入院率,并确保COPD患者的护理连续性.
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