在COPD患者的住院再入院率的家庭管理:系统性审查
Rita Corcoran1, Zena Moore2, Pinar Avsar2
1Health Service Executive, Mayo Chronic Disease Care Hub, Community Healthcare West, Mayo, Ireland.
Journal of advanced nursing
|April 1, 2024
概括
基于家庭的管理显著减少了慢性阻塞性肺病 (COPD) 患者的再入院. 这种方法减轻了医疗保健系统的负担,并通过避免住院而改善了患者的治疗结果.
科学领域:
- 肺部医学 肺部医学
- 医疗保健管理的管理
- 基于证据的实践.
背景情况:
- 慢性阻塞性肺病 (COPD) 在全球范围内对个人和医疗保健系统构成重大负担.
- 重新入院是COPD患者常见且昂贵的并发症.
- 有效的管理策略对于减少住院和改善患者生活质量至关重要.
研究的目的:
- 系统地审查和分析家庭管理干预措施对被诊断患有COPD的患者再入院率的影响.
- 综合当前关于家庭护理在减少COPD患者再入院的有效性方面的证据.
主要方法:
- 对2015年至2021年间发表的研究进行系统审查和元分析 (如适用) 或叙事分析.
- 在主要的电子数据库 (CINAHL,MEDLINE,PubMed,Embase,SAGE期刊) 中进行了搜索,并进行了额外的手动搜索.
- 遵循PRISMA指南,使用RevMan软件进行数据提取,质量评估和元分析.
主要成果:
- 该审查包括八项研究 (五项RCT,两项观察性,一项追溯性) 涉及三大洲3604名COPD患者.
- 基于家庭的管理表明,COPD患者的医院再入院率在统计学上显著降低.
- 虽然趋势有利于在家进行治疗,减少住院时间和死亡率,但这些发现在统计学上并不显著.
结论:
- 家庭治疗是减少COPD患者再入院率的有效策略,代表了临床上重要的结果.
- 这种方法通过避免入院为个人患者提供了好处,并通过减轻负担为医疗保健系统提供了好处.
- 建议进行进一步的研究,以探索COPD家庭护理套餐的成本效益和最佳组件.
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