虚拟小组约会在全球大流行期间改善心力衰竭退伍军人的结果:质量改善项目
Mary P Hansen1, Shannon L Stewart1, Christine Ensign1
1Department of Cardiology, Veterans Health Administration, Portland, OR, USA.
Creative nursing
|October 6, 2023
概括
虚拟小组预约改善了心力衰竭 (HF) 自理行为,并减少了退伍军人的住院治疗. 这项质量改进计划在COVID-19大流行期间采用了多专业团队方法.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 在COVID-19大流行期间,心力衰竭 (HF) 患者面临的风险增加.
- 社会隔离和减少的医疗保健资源需要替代的患者参与策略.
- 虚拟干预对于持续的HF患者教育和支持至关重要.
研究的目的:
- 评估虚拟团体预约的有效性,以改善HF退伍军人的自我护理行为.
- 评估虚拟组HF预约对住院率的影响.
- 探索多专业团队方法在提供虚拟HF护理中的实用性.
主要方法:
- 从2020年3月到2021年6月,一项质量改善倡议涉及57名患有HF的退伍军人.
- 由一个多专业团队领导的12个虚拟小组约会的实施.
- 关于自我护理行为的前/后问卷和住院数据的图表审查.
主要成果:
- 与历史数据相比,虚拟组HF预约与住院病例的减少有关.
- 自我报告的自我护理行为从干预前到干预后的问卷显著改善.
- 多专业团队有效地提供了关于HF自我护理,营养,药物和心理健康的教育.
结论:
- 虚拟小组预约是一种可行的和有效的方法,可以提高HF自我护理并减少住院治疗.
- 这种模式为HF患者提供了一个独特的教育和激励平台,促进同行参与.
- 多专业的虚拟方法解决了由流行病和医疗保健资源限制所带来的挑战.
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