优化资源利用:对重症儿科创伤患者进行息护理咨询
Julie Goswami1,2, Jacob Baxter3, Brenda M Schiltz4
1Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Trauma surgery & acute care open
|November 29, 2023
概括
儿科息护理咨询在创伤患者中未得到充分利用. 制定标准可以帮助确定更多能从这些基本服务中受益的患者.
科学领域:
- 创伤护理 创伤护理
- 抚慰性医学是一种缓解性医学.
- 儿科重症监护 儿科重症监护
背景情况:
- 美国外科医生学院创伤质量改善计划 (TQIP) 在2017年发布了创伤患者的息护理指南.
- 对儿科创伤患者的儿科息护理的利用仍然没有得到充分的研究.
- 这项研究解决了对重症儿科创伤患者的缓解护理咨询理解的差距.
研究的目的:
- 为了确定接受了息治疗咨询的儿科创伤患者.
- 制定识别儿科创伤患者从息护理服务中受益的标准.
- 评估临床实践指南 (CPG) 对息治疗咨询率的影响.
主要方法:
- 对机构儿科创伤登记的回顾性审查 (2014-2021) 确定了0-17岁的患者被录取到ICU/TICU.
- 电子医疗记录被分析为息护理咨询.
- 基于TQIP指导方针的CPG被开发并追溯应用,然后前性应用.
主要成果:
- 在399名患者中,有30人 (7.5%) 死亡,20人 (66.7%) 在入院后24小时内死亡.
- 只有5.3%的患者获得了息治疗咨询.
- 根据CPG的回顾性应用,发现有27.3%的患者符合咨询标准. 预期实施导致咨询率为25%.
结论:
- 息护理服务在重症儿科创伤患者中未得到充分利用.
- 一个CPG可以显著增加儿童创伤患者的鉴定和咨询,以获得息护理.
- 需要进一步的研究来分析CPG实施对早期息护理参与的有用性.
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