转诊与嵌入式息护理咨询在心脏衰竭住院患者中:来自单一中心试点计划的报告
Anup Bharani1, Ankita Mehta1, Karen Hiensch1
1Brookdale Department of Geriatrics and Palliative Medicine (A.B., A.M., K.H., L.Z., N.G., E.C., L.P.G.), Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Journal of pain and symptom management
|December 1, 2023
概括
嵌入式息护理护士实践者模型改善了心力衰竭患者的访问,导致更早的咨询和更好的结果. 与传统推相比,这种创新方法有利于年轻,功能更强的患者.
科学领域:
- 心脏病学 心脏病学
- 抚慰性护理是一种缓解性护理.
- 医疗保健提供模式 医疗保健提供模式
背景情况:
- 在常规心力衰竭 (HF) 护理中优化息护理的整合仍然是一个挑战.
- 需要创新的模型来改善HF患者的息护理机会.
研究的目的:
- 在心力衰竭 (HF) 团队中描述嵌入式息护理护士从业者 (NP) 模型.
- 为了比较住院HF患者的推式和嵌入式咨询之间的人口统计和息护理服务的使用情况.
主要方法:
- 使用基于电子健康记录的息护理登记册来收集数据.
- 进行描述性分析,t测试和千平方测试以比较组.
- 检查了住院HF患者的社会人口统计,临床和利用数据.
主要成果:
- 咨询量几乎是嵌入式NP模型的两倍.
- 接受嵌入式咨询的患者年轻,功能更强,具有决策能力.
- 嵌入式商导致了更早的干预和更高的排放率.
结论:
- 接受嵌入式息护理咨询的住院高级HF患者更年轻,功能状况更高,疾病严重程度更低.
- 嵌入式模型显示了改善医疗服务和改善心力衰竭管理中的患者结果的潜力.
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