喘和慢性阻塞性肺病管理中的任务转移:对阻塞性肺病计划的审查
Madiha Siddiqui1, Fizra Khan2, Saima Saeed3
1Madiha Siddiqui, FCPS The Indus Hospital & Health Network, Plot 3 & 3-A, Sector 47 Korangi Creek Road, Karachi, Pakistan.
Pakistan journal of medical sciences
|February 8, 2024
概括
任务转移到肺健康护士改善了慢性呼吸道疾病的护理. 护士有效地进行了螺旋计,患者评估和咨询,提高了初级保健中的患者管理.
科学领域:
- 提供医疗保健服务.
- 呼吸系统药物 呼吸系统药物
- 护理实践的护理实践
背景情况:
- 喘和COPD等慢性呼吸道疾病 (CRD) 构成了全球健康的重大负担.
- 医生短缺可能会限制CRD患者获得专业护理的机会.
- 将任务转移给护士提供了一个潜在的解决方案,以改善医疗保健的获取和效率.
研究的目的:
- 在阻塞性肺病 (OLD) 计划中,评估将任务转移到肺健康护士 (LHNs) 的实用性和影响.
- 评估护士在初级保健环境中管理CRD的有效性.
主要方法:
- 在巴基斯坦从2018年1月到2023年3月进行了一项回顾性,横截面研究.
- 注册护士被训练为LHNs进行螺旋测量,管理患者报告结果测量 (PROM),提供咨询,并促进转诊.
- 数据是在REDCap上收集的,并使用统计软件进行分析.
主要成果:
- 在实施前,只有8%的患者接受了吸入器教育,关键的PROM很少被记录下来.
- 在实施后,86%的转诊者接受了护士主导的评估,其中螺旋计 (92%),PROMs完成率高 (ACT 89%,CAT 91%,mMRC 85%) 和咨询 (吸入器教育97%,戒烟85%).
- 护士成功促进了肺部康复转诊 (94%).
结论:
- 经过培训的护士可以有效地管理CRD患者,提供全面和及时的护理.
- 将任务转移到护士身上可以加强医疗保健系统,并改善喘和COPD患者的治疗结果.
- 未来的扩张可能涉及远程医疗和家庭监测,以进一步加强护士领导的CRD护理.
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