利用RE-AIM检查农村地区退伍军人电脑脏病计划的实施情况
Kristin M Mattocks1,2, Aimee Kroll-Desrosiers1,2, Susan Crowley3,4
1VA Central Western Massachusetts Healthcare System, Leeds, MA, United States.
Frontiers in health services
|October 2, 2023
概括
电脑脏学有效地支持患有慢性脏病和高血压的退伍军人. 成功的关键因素包括临床冠军和量身定制的培训,尽管确保足够的中心科医生可用性对于持续的护理至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 远程医疗远程医疗
- 医疗保健管理的管理
背景情况:
- 慢性病 (CKD) 和耐性高血压 (rHTN) 显著影响退伍军人.
- 电脑脏病学在向农村老兵群体提供专业护理方面表现有前途.
- 了解实施因素对于扩大虚拟医疗保健服务至关重要.
研究的目的:
- 用RE-AIM框架评估临床医生和工作人员对电脑脏病程序的看法.
- 确定在退伍军人医疗保健机构中实现远程脏病的促进者和障碍.
主要方法:
- 与14名临床医生进行了半结构化访谈,涉及5个电脑脏病学站点.
- 以RE-AIM框架为指导的内容分析被用来解释采访数据.
主要成果:
- 一个集中的临床冠军对于计划启动和成功至关重要.
- 过渡到VA电脑瘤学被视为有效性的重要指标.
- 有效的采用涉及定期培训和当地冠军的参与.
- 足够的人员是计划实施的关键.
- 潜在的挑战包括由于日益增长的依赖性,确保中心科医生的可用性.
结论:
- 远视脏病的实施需要积极参与,量身定制的培训和足够的人员.
- 该计划展示了扩大退伍军人获得专业护理的潜力.
- 需要进一步研究管理虚拟提供者访问,并比较虚拟与面对面的护理偏好.
相关概念视频
Chronic Kidney Disease III: Interprofessional Care
28
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
28
Acute Kidney Injury V: Interprofessional Care
12
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
12
Continuous Renal Replacement Therapy
40
Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
40
Hemodialysis III: Nursing Management
31
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
31
Acute Kidney Injury VI: Nursing Management
19
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
19
Chronic Kidney Disease IV: Nursing Management
11
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
11


