通过高级实践护士对患有外围动脉封闭性疾病的患者进行跑步机行走测试的可行性
G Dumas1, A Danjou2, C Richaud1
1Service de Médecine Vasculaire, department of Vascular Medicine, Grenoble University Hospital, BP 217, 38043 Grenoble cedex 09, France.
Journal de medecine vasculaire
|May 2, 2024
概括
先进的实践护士可以有效地执行跑步机行走测试来诊断周围动脉疾病. 这种方法通过识别心血管风险因素和减少测试访问时间来改善患者管理.
科学领域:
- 血管医学 血管医学
- 诊断测试 诊断测试 诊断测试
- 高级实践护理高级实践护理
背景情况:
- 下肢的外周动脉疾病 (PAD) 需要准确的诊断方法.
- 跑步机行走测试与运动后压力测量是PAD的公认诊断工具.
- 评估高级实践护士 (APN) 执行此测试的可行性对于改善患者获取和护理至关重要.
研究的目的:
- 评估高级实践护士 (APN) 对疑似下肢外周动脉疾病的患者进行跑步机行走测试的可行性.
- 评估APN主导的跑步机测试的诊断贡献和患者管理方面.
主要方法:
- 进行了一项纵向单心研究,以评估由APN执行的跑步机测试的可行性.
- 主要终点是执行的测试数量.
- 其次要目标包括评估测试请求的理由,诊断结果和患者特征.
主要成果:
- 31名患者接受了跑步机行走测试; 4项测试排除了PAD并确定了差异诊断.
- 在剩余的27名患者中,有4人患有IIa阶段,23人患有IIb阶段的外周动脉疾病.
- APN的报告包括心血管风险因素识别和管理建议,加强患者护理.
结论:
- 跑步机行走测试是可行的,高级实践护士可以执行.
- 以APN为主导的测试导致了全面的患者管理,包括心血管风险因素检测.
- 这一举措将测试性能提高了50%以上,并缩短了访问时间.
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