在喘和COPD中实施综合护理指南:这并不容易!
Jan A Witte1, Erwin Birnie1, Gert-Jan Braunstahl1,2
1Department of Pulmonary Disease, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.
Heliyon
|November 29, 2023
概括
实施慢性阻塞性肺病 (COPD) 和喘个性化护理途径改善了护理计划和诊断数据. 然而,由于物流挑战和患者因素,需要改进路径,以获得更广泛的益处.
科学领域:
- 肺部医学 肺部医学
- 医疗保健实施科学 医疗保健实施科学
背景情况:
- 基于指导方针的慢性阻塞性肺病 (COPD) 和喘护理旨在标准化,个性化患者管理.
- 在呼吸系统护理中实施综合,标准化和个性化方法的现实世界提出了独特的挑战.
研究的目的:
- 评估基于指导方针的有效性,综合,标准化和个性化的护理途径,用于COPD和喘患者在现实世界的临床环境.
- 评估个性化诊断途径对使用诊断项目和个性化护理计划 (PCP) 的影响.
主要方法:
- 一项受控队列研究比较了在 (2013) 之前和 (2015) 之后实施个性化诊断途径的阻塞性肺病患者.
- 结果与两个没有实施该途径的对照医院的参考数据进行了比较.
- 在三个队列中分析了100名患者,评估了出席率,PCP和注册的诊断项目.
主要成果:
- 在实施该途径后,PCP (P < 0.001) 和注册诊断项目的数量显著增加 (P < 0.001).
- 然而,只有35%的患者参加了所有预约;由于后勤复杂性,参与意愿和社会经济因素,65%的患者接受了通常的护理.
- 低社会经济地位和低识字率被认为是途径参与的障碍.
结论:
- 实施标准化诊断途径显著增强了个性化护理计划,证明了整体护理规划在这个人群中的可行性.
- 需要进一步改进,专注于物流简化,优化诊断工具和解决低识字率,以最大限度地提高患者的益处.
- 在扩展协议之前,将现有指导方针转化为实际的,日常的临床应用是至关重要的.
更多相关视频
相关概念视频
01:26COPD: Management Using Bronchodilators and Corticosteroids
214
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
214
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.9K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.9K
01:30Asthma-IV: Diagnostic and Management
2.5K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.5K
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
2.8K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.8K
01:30Asthma-IV: Nursing Management
3.1K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
3.1K