评估社区护士领导的创伤性管道移位的评估
Sophie Stenson1, Rebecca Capener2, Julie Barker3
1Homeward Nursing, Nutricia UK Ltd, Trowbridge.
British journal of community nursing
|April 2, 2024
概括
社区家庭护理护士可以在成年人中安全地替换脱落的家庭肠道养管. 这种由护士领导的服务没有显示出任何临床并发症,并节省了大量的成本,改善了社区的患者护理.
科学领域:
- 医学科学 医学科学 医学科学
- 护理实践 护理实践
- 胃肠病学 胃肠病学
背景情况:
- 家庭肠道养 (HEF) 是一种常见且安全的做法.
- 食管的创伤性移位可能需要急性护理干预.
- 有证据表明,安全的社区替换这些管是有限的.
研究的目的:
- 评估一项服务,使社区家庭护理护士 (CHN) 能够替换创伤性移位的养管.
- 评估社区环境中由护士领导的输卵管替换的安全性和有效性.
- 确定这种社区服务的潜在成本效益.
主要方法:
- 在29个月的时间里进行了服务评估.
- 包括患有创伤性移位食管的成年患者.
- 结果在替换后1天,7天和6个月记录.
主要成果:
- 在60名患者中,CHN共进行了71次输卵管置换.
- 在任何随访间隔中都没有报告任何临床并发症.
- 这项服务估计节省了235,754.40英的成本.
结论:
- 在社区内的成年人中,护士主导的创伤性移位的食管的替换是一种低风险的程序.
- 该服务为急性护理干预提供了安全有效的替代方案.
- 该模型显示了在医疗保健提供中节省成本的巨大潜力.
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