在社区息护理中及时评估与呼吸有关的痛苦:一个多学科的协作质量改进项目
Angela Rao-Newton1,2, Elaine Gallagher3, Jake Mickelsen4
1School of Nursing, College of Health and Medicine, University of Tasmania, Lilyfield, New South Wales, Australia.
通过质量改进项目,缓解护理中呼吸困难的及时重新评估得到了显著的改善. 这一举措通过确保对呼吸困难及时给予关注,提高了患者的护理.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 提高质量 提高科学 提高质量
- 呼吸道应急管理 呼吸道应急管理
背景情况:
- 气喘是息护理患者普遍和令人痛苦的症状,影响生活质量.
- 澳大利亚的息护理服务旨在进行常规的喘息评估,但经常缺乏及时的重新评估.
- 适度至严重的呼吸相关困扰需要在社区息护理环境中迅速有效地管理.
研究的目的:
- 为了提高适度至严重呼吸困难的患者呼吸困难重新评估的及时性.
- 在新南威尔士州的家庭社区息护理服务中实施和评估干预措施.
主要方法:
- 一个协作质量改进 (QI) 项目,涉及回顾性图表审计和因果分析.
- 实施关键驱动因素:多学科教育,护士主导的病例管理,电子数据输入和定期监测.
- 重新评估及时性的前后评估和呼吸问题症状评估尺度得分.
主要成果:
- 在七天内重新评估中度至重度呼吸困难的患者比例在六个月内从34%上升到92%.
- 关键干预措施包括教育,定义护士的角色,改善数据访问和系统监控.
- 在呼吸困难重新评估的及时性方面取得了显著的改善.
结论:
- 一个有针对性的QI项目有效地改善了社区息护理中呼吸困难再评估的及时性.
- 这些干预措施通过确保与呼吸相关的痛苦的及时管理,促进了更好的患者结果.
- 该模型展示了一种成功的策略,用于增强息护理服务的提供.
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