使用数字平台和多学科团队方法优化接受心脏手术的患者的护理
Amy Charlebois1, Bonnie Quinlan2, Ruth Coulton1
1Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
The Journal of thoracic and cardiovascular surgery
|September 15, 2023
概括
通过降低再入院和感染,Prehab自动后续 (AFU) 计划改善了心脏手术患者的结果. 这个数字平台通过优化风险因素和多学科支持来增强患者护理.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 手术患者护理手术患者护理
背景情况:
- 与流行病相关的访问限制和复杂的患者需求挑战了心脏手术护理的提供.
- 太华大学心脏研究所开发了Prehab自动跟踪 (AFU) 计划,这是一个用于患者教育和症状跟踪的数字平台.
- 该AFU计划旨在利用最佳实践指南在手术前优化患者的风险因素.
研究的目的:
- 量化AFU计划实施后的患者结果.
- 评估数字平台对手术前优化和患者护理的影响.
- 评估AFU计划在改善心脏手术患者结果方面的有效性.
主要方法:
- 等待选择性心脏手术的患者被招募并使用自动电话对话和简短的12形式手术前评估进行查.
- 查确定了需要转诊给多学科团队的患者,包括糖尿病,物理治疗,饮食学,戒烟,社会工作,职业咨询和心理学专家.
- 该AFU计划促进了自动查,并促使推面对面的多学科评估.
主要成果:
- 自2021年2月以来,AFU计划注册了1237多名患者,导致508个多学科团队转诊.
- 与去年相比,30天的再入院减少了2.5%,住院减少了0.6天,手术部位感染减少了2.5%.
- 在AFU计划之前,没有多学科团队被推进行手术前优化.
结论:
- 心脏外科AFU计划通过识别和优化患者风险因素,有效地减少了不良健康结果.
- 该计划通过积极的风险管理和量身定制的干预措施提高了患者护理的质量.
- 该AFU计划通过教育支持和多学科咨询,促进患者和护理人员的参与,改善整体患者护理.
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