淋巴 edem 专家嵌入社区护士和伤口服务:影响和结果
Melanie Thomas1, Karen Morgan2, Ioan Humphreys3
1Clinical Director, Lymphoedema Wales Clinical Network.
概括
淋巴管理教育计划显著降低了医疗保健成本,改善了患者的治疗结果. 这种方法为社区临床服务提供了一个具有成本效益的解决方案,为淋巴 edem 患者提供护理.
科学领域:
- 健康科学 卫生科学 卫生科学
- 临床实践 临床实践
- 公共卫生 公共卫生
背景情况:
- 淋巴 edem 是一种慢性疾病,对患者有重大影响.
- 诸如细胞炎和伤口等并发症增加了医疗保健需求.
- 社区的临床服务在治疗淋巴 edem 面临挑战.
研究的目的:
- 评估实地教育计划 (OGEP) 对淋巴管理的影响.
- 评估医疗保健提供者的知识,能力和信心的变化.
- 探索OGEP的成本效益和患者结果的改善.
主要方法:
- 采用了干预前后的研究设计.
- 在社区环境中收集了561名淋巴 edem 患者的数据.
- 测量了资源使用,成本和患者报告的结果 (EQ-5D-5L,LYMPROM).
主要成果:
- 统计学上显著的减少观察到员工访问,细胞炎入院,压缩耗材和伤口带的成本 (P<0.001).
- 每位患者的平均成本从1457.10英降至964.40英.
- 通过EQ-5D-5L和LYMPROM得分来衡量患者的治疗结果显著改善.
结论:
- OGEP的干预表明了降低医疗保健资源成本的潜力.
- 该计划导致了患者治疗结果的显著改善.
- OGEP为未来的淋巴 edem 护理提供提供了创新和有效的战略.
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