医院后多学科护理对艾基创伤幸存者:一个可行性试点试点
Heather P May1, Joseph R Herges1, Brenda K Anderson2
1Department of Pharmacy, Mayo Clinic, Rochester, MN.
Kidney medicine
|November 15, 2023
概括
艾基在护理过渡 (ACT) 计划的艾基在护理过渡 (ACT) 计划证明了在急性损伤 (AKI) 幸存者中改善护理随访的可行性. 这种多学科的方法显著增加了医疗提供者和实验室在放药后的随访.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 主要护理医学 医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 急性损伤 (AKI) 幸存者在出院后的脏护理中面临着重大差距,增加了长期脏疾病的风险.
- 创新型号对于改善AKI幸存者的随访至关重要,特别是在初级保健机构内.
研究的目的:
- 评估AKI在护理过渡 (ACT) 计划的可行性,这是AKI在初级保健中的幸存者护理的多学科干预.
- 评估ACT计划对AKI幸存者的过程和临床结果的影响.
主要方法:
- 一项准实验性的试点研究,涉及同意的成年人,患有第三阶段AKI,在没有透析的情况下被送回家.
- 该ACT干预措施包括退院前的护士教育和在14天内与初级保健提供者和药剂师进行协调的退院后随访.
- 实施分为几个阶段:通常的护理,教育和ACT.
主要成果:
- 与通常的护理和教育组相比,ACT计划证明了可行性,30天尿蛋白评估的累积发病率更高 (87%与15%和28%相比).
- 与其他组相比,ACT参与者在14天 (73%) 和30天 (73%) 的时间里显著增加了提供者和实验室的随访.
- 虽然在统计学上不显著,但30天再入院率在ACT组 (13%) 与常规护理 (23%) 和教育 (44%) 相比较低.
结论:
- 该ACT计划是一个可行的模型,用于在初级保健中启动的多学科AKI幸存者的随访.
- 该干预导致AKI幸存者更好地遵守推的实验室和提供者随访.
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