护士执业护理与初级护理或科医生护理相比,在早期的CKD中
Matthew T James1,2,3,4, Tayler D Scory1, Ellen Novak1
1Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Clinical journal of the American Society of Nephrology : CJASN
|December 8, 2023
概括
与单独的初级保健相比,慢性病 (CKD) 患者的护士执业护理改善了指导方针的遵守和健康结果. 结果与科医生护理相似,这表明NP可以提高CKD管理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 医疗保健管理的管理
- 患者的治疗结果.
背景情况:
- 慢性病 (CKD) 管理从早期干预中受益,但获得专门的病护理往往是有限的.
- 执业护士 (NPs) 可能可以弥合这一差距,但他们对CKD患者的护理效果和结果需要进一步调查.
研究的目的:
- 为了比较护理质量和慢性病患者的临床结果,由执业护士管理与单独的初级保健或科医生护理.
主要方法:
- 一项倾向分数匹配的队列研究将接受NP护理的CKD患者与仅接受初级护理的患者以及接受科医生护理的患者匹配起来.
- 护理过程在一年内被评估,临床结果在入学后的五年内被评估.
主要成果:
- 与单独的初级保健相比,NP护理与增加使用ACE抑制剂/ARBs和他类药物,减少NSAID处方以及更好地监测eGFR和白尿有关.
- 接受NP护理的患者的住院和死亡率低于仅接受初级保健的患者.
- 与科医生护理相比,NP护理显示了类似或改进的药物处方和可比的临床结果.
结论:
- 护士执业人员对慢性病患者的管理表明,与单独的初级保健相比,与指南一致的护理优越.
- 接受NP护理的CKD患者的临床结果比初级保健更好或相当于初级保健,类似于科医生护理.
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