改善重病退伍军人的术后息护理整合的策略
Karleen F Giannitrapani1, Marzena Sasnal2, Matthew McCaa3
1Department of Veterans Affairs (K.F.G., M.S., M.M., A.W., K.A.L.), Menlo Park, California; Primary Care and Population Health (K.F.G., K.A.L.), Stanford School of Medicine, Stanford, California.
Journal of pain and symptom management
|August 29, 2023
概括
整合严重病的手术患者的息护理 (PC) 需要合作. 策略包括建立信任,识别需要PC的患者,及时参与,以及为更好的护理提供足够的资源.
科学领域:
- 医学瘤学 医学瘤学
- 手术瘤学手术瘤学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 严重病的手术患者面临更高的不良结果风险.
- 息护理 (PC) 改善了患者护理质量和结果,但在外科手术期间却未得到充分利用.
研究的目的:
- 确定增强重病退伍军人的术后PC整合的策略.
- 了解PC提供商和外科医生对改善外科手术期间PC的看法.
主要方法:
- 与PC提供商和外科医生进行半结构化,深入的访谈.
- 从高合作和低合作的退伍军人事务网站有目的地采样.
- 采用双编码的以团队为基础的专题分析 (评级者之间的可靠性>0.8).
主要成果:
- 出现了四个关键策略: 1) 促进合作关系, 2) 实施PC咨询的风险评估, 3) 确保PC和外科医生的及时参与, 4) 为跨学科护理提供资源.
- 确定的策略旨在改善PC整合和护理讨论的目标.
结论:
- 个人,程序和组织的努力可以加强PC临床医生和外科医生之间的服务间合作.
- 促进合作对于有效的外科手术期间息护理提供至关重要.
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