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数字健康指导,以提高患者为选择性下肢关节塑造做好准备:质量改进项目

Nicola Powley¹, Garry A Tew², James Durrand³

¹Northern School of Anaesthesia and Intensive Care Medicine, Newcastle upon Tyne, UK nicola.powley@nhs.net.

BMJ open quality

|December 7, 2023

概括

数字健康指导显著改善了患者激活,并减少了接受选择性下肢关节整形手术的患者停留时间. 这种远程支持途径取得了成功,特别是在活性较低的患者中,突出了其在手术前护理中的潜力.

科学领域:

在外科手术期间的医学.
数字健康数字健康
卫生教练健康教练

背景情况:

大型手术带来风险,特别是在患有并发症或虚弱的患者身上.
准备计划改善了手术前的健康状况,但疫情需要远程解决方案.
通过移动应用程序实施数字健康辅导作为远程支持途径.

研究的目的:

评估为期8周的数字健康指导计划对等待选择性下肢关节整形手术的患者的有效性.
用远程支持模型评估患者激活和其他结果的变化.

主要方法:

189名预定要进行关节整形的患者接受了为期8周的数字健康指导.
参与者获得了个性化指导,在线资源和数字炼计划.
评估了患者激活措施 (PAM) 和术后结果.

主要成果:

57名患者表示同意,40名患者完成了该计划.
中位数PAM得分从58.1显著增加到67.8 (p=0.002).
逗留时间 (LOS) 的中位数为2天,比信托公司的平均值更短.

结论:

数字健康指导是一种可行的远程支持方法,用于关节整形患者.
观察到PAM的显著改善,特别是在活性较低的个体中.
需要进一步的研究来证实在其他外科手术前组的这些发现.

关键词:

麻醉麻醉是一种麻醉.改善医疗保健质量改善医疗保健质量患者教育患者教育以患者为中心的护理.手术手术手术术术

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