扩大泌尿器科服务到澳大利亚地区,减少医院间转移:执业护士如何帮助
S Willder1, E Kelsey2, E O'Connor2
1Depatment of Surgery, Western District Health Service, Hamilton, Victoria, Australia.
ANZ journal of surgery
|April 15, 2024
概括
一个区域医院的泌尿外科护士 (UNP) 成功管理了复杂的泌尿外科病例,防止了19次医院间转移. 这一角色对于农村泌尿器科护理至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健管理的管理
- 农村卫生 农村卫生
背景情况:
- 25年来,在汉密尔顿基地医院开展了访问性泌尿病学服务,以解决未满足的需求.
- 泌尿外科护士执业人员 (UNP) 管理泌尿外科患者与访问泌尿外科医生一起.
研究的目的:
- 评估UNP对区域泌尿外科护理的作用对区域泌尿外科护理提供的影响.
- 评估UNP在处理复杂案件和防止转移方面的有效性.
主要方法:
- 从2016年1月到2019年12月,对UNP临床干预的回顾性分析.
- 用5分临床严重程度等级对患者的接触进行了分级.
- 评估重点是UNP患者管理和预防医院间转移.
主要成果:
- 包括184名患者,654项评估,按临床严重程度分类.
- 严重病例 (3-4级) 的干预包括严重出血,导管问题和血液动力学不稳定性.
- 19名需要医院间转移的患者由UNP在当地管理.
结论:
- 通过UNP进行本地管理对于区域中心的患者护理至关重要.
- UNP在防止泌尿病患者不必要的医院间转移方面发挥着重要作用.
- 这种UNP模型是农村社区访问泌尿器科服务的重要组成部分.
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