[作为败血症护理过程的一部分的电话随访]
Johan Lindtsröm1, Karolina Lager2, Magnus Brink3
1med dr, överläkare, infektions-kliniken, Sahlgrenska universitetssjukhuset, Göteborg; institutionen för biomedicin, avdelningen för infektionssjukdomar, , infektions-kliniken, Sahlgrenska universitetssjukhuset, Göteborg; institutionen för biomedicin, avdelningen för infektionssjukdomar, Göteborgs universitet.
Lakartidningen
|December 12, 2023
概括
通过电话跟踪的败血症后护理显示,没有直接的患者益处. 这种资源密集型的过程需要重新评估,以改善败血症患者的护理途径和结果.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 医疗保健管理的管理
背景情况:
- 败血症是一种危及生命的疾病,需要有效的出院后护理.
- 在败血症管理中评估后续干预措施的有效性至关重要.
研究的目的:
- 评估患者在败血症后照顾的电话随访计划对患者的直接益处.
- 评估传染病护士领导的后续电话的资源密集性和有效性.
主要方法:
- 一项试点研究涉及由传染病护士进行的电话后续呼叫.
- 在住院治疗败血症后,患者在出院后2-6周被联系.
- 收集关于后续实施的数据,提供的建议和时间投资.
主要成果:
- 没有直接的患者益处被证明从电话后续干预.
- 在51名符合条件的患者中,只有21人完成了随访.
- 干预是资源密集型的,每次支持建议花费279分钟.
结论:
- 缺乏证据支持在败血症治疗后不经选择的电话随访.
- 目前的败血症护理后续过程需要进行重大修订和系统评估.
- 需要一个结构化的方法来修改实施后的护理流程.
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