[护士病例经理在重症外科的电话后续. 一个前性的观察性研究]
Valentina Ariu1, Alessio Rizzo2, Antonio Valenti3
1SCDU Oncologia, Ospedale Mauriziano Umberto I, Torino.
Assistenza infermieristica e ricerca : AIR
|April 4, 2024
概括
护士病例管理人员为大手术患者提供必要的电话随访,解决常见的出院后症状,并使早期风险识别成为可能. 这种支持有助于患者有效地管理康复.
科学领域:
- 手术护理 医疗护理
- 案件管理 案例管理
- 患者的恢复 患者的恢复
背景情况:
- 结构化的电话后续是关键的案件管理策略.
- 它增强了患者的满意度,自主性和退院后的信息获取.
研究的目的:
- 详细介绍护理病例管理经验.
- 描述主要腹部手术患者的医院后电话随访.
主要方法:
- 前性,单中心的观察性研究.
- 包括连续接受重大腹部手术的患者 (2021年4月至2022年5月).
- 描述了出院后的症状,护理需求和病例管理干预措施.
主要成果:
- 182/205名患者报告了术后症状 (疲劳,疼痛,食欲丧失).
- 随着时间的推移,病例管理人员的干预减少了;10.7%的患者被重新录取.
- 12人因案件经理的建议而被遣返,这表明风险早已被识别出来.
结论:
- 退院后的患者面临着严重的症状负担,需要得到支持.
- 案例经理的支持和自我管理指导有助于早期发现风险.
- 电话随访对于管理术后康复和防止再入院至关重要.
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