家庭非侵入性通风的医院提供商公司网络:可行性试点研究
Michele Vitacca1, Giada Asti1, Domenico Fiorenza1
1Respiratory Rehabilitation Unit of the Institute of Lumezzane, Istituti Clinici Scientifici Maugeri IRCCS, 25065 Lumezzane, BS, Italy.
使用非侵入性通风 (NIV) 的慢性呼吸衰竭 (CRF) 的混合医院-提供商公司 (PC) 临床途径是可行的和有效的. 这种方法改善了患者的结果和满意度,证明了它的有效性和可接受性.
科学领域:
- 肺部医学 肺部医学
- 医疗保健管理的管理
- 康复 康复 康复 康复
背景情况:
- 慢性呼吸衰竭 (CRF) 的管理需要有效的非侵入性通风 (NIV) 策略.
- 整合医院和提供商公司 (PC) 服务可以优化患者护理途径.
- 当前的NIV适应和后续模型可能会从混合方法中受益.
研究的目的:
- 评估混合医院-PC临床途径的可行性,有效性,可靠性和可接受性,用于CRF患者的NIV适应和随访.
- 为了评估患者的结果和对混合模型的满意度.
- 确定混合途径中的资源分配和干预模式.
主要方法:
- 一项为期3个月的前性研究,涉及用于NIV适应和随访的混合医院-PC模型.
- 物理治疗师病例管理人员利用远程监测和家庭访问来管理患者.
- 关键的结果指标包括招募率,不良事件,NIV坚持,生理参数 (PaCO2,氧和),功能状态 (SPPB,运动耐受性) 和患者报告的结果 (呼吸障碍,生活质量,满意度).
主要成果:
- 实现了74%的招募率,招募了19名患者.
- 常见的不良事件包括NIV泄漏,不适和睡眠障碍.
- 在PaCO2,呼吸障碍,短物理性能电池 (SPPB) 评分和在第三个月的运动耐受性方面观察到显著的改善.
- 报告了对NIV的高度遵守和患者对服务的满意度.
结论:
- 一个混合医院-PC服务模型用于NIV适应和CRF患者的随访是可行的,有效的,可靠的和可接受的.
- 这种综合方法表明了改善临床结果和患者体验的潜力.
- 混合模型为治疗需要NIV支持的慢性呼吸衰竭患者提供了一种有效的策略.
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