儿科息护理质量网络:息护理咨询和患者结果
Andrea C Postier1,2, Maggie C Root3, David L O'Riordan4
1Division of Pediatric Pain, Palliative and Integrative Medicine, Department of Pediatrics, University of California San Francisco School of Medicine, San Francisco, California.
Hospital pediatrics
|December 4, 2023
概括
儿科息护理 (PPC) 转诊发生在症状管理的早期,并有所改善. 确保适当的跨学科PPC团队人员配置对于重病儿童至关重要.
科学领域:
- 儿科缓和护理 儿科缓和护理
- 提高医疗保健的质量 改善医疗保健的质量
- 跨学科护理模式 跨学科护理模式
背景情况:
- 儿科息护理 (PPC) 的质量基准测试对于识别护理差距和推动质量改进举措至关重要.
- 这项研究旨在使用多站点数据库来描述住院PPC转诊流程,跨学科的护理服务以及患者的治疗结果.
研究的目的:
- 分析住院儿科息护理患者的转诊模式.
- 检查跨学科的PPC服务的提供.
- 评估与PPC干预相关的患者结果.
主要方法:
- 来自5家美国医院 (2016-2022) 的1587例住院PPC遭遇的行政数据的横截面分析.
- 数据由PPC临床医生从国家数据库中收集,重点关注关键质量指标.
- 描述性分析检查了计划特征,转诊模式,护理流程和结果,比较出院处置的停留时间.
主要成果:
- PPC计划的平均服务时间为13年,主要为1岁以上的患有固体瘤或先天性疾病的儿童提供服务.
- 转介往往是由心理社会支持需求 (78%) 和护理讨论的目标 (42%) 驱动的.
- 观察到显著的症状改善,中度至重度的疼痛,呼吸障碍,疲劳和食问题在第二次评估中得到改善.
结论:
- 在PPC中,为心理社会和症状管理提供早期转诊是常见且有效的.
- 在初始PPC评估后,经常观察到症状困扰得分的改善.
- 适当的跨学科PPC团队人员配置对于解决重症儿童复杂需求至关重要.
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