在COPD急性恶化期间的常规住院干预与改善30天护理相关
Ophir Freund1, Levi Elhadad2, Boaz Tiran2
1The Institute of Pulmonary Medicine, Tel-Aviv Sourasky Medical Center, 6 Weizmann Street, Tel Aviv, Israel; Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Internal medicine B, Tel-Aviv Sourasky Medical Center, Israel.
Heart & lung : the journal of critical care
|May 15, 2024
概括
住院治疗COPD恶化为改善长期护理提供了机会. 医院内干预措施,如呼吸器理疗和处方长效支气管扩展剂,改善了患者的治疗结果,减少了再入院.
科学领域:
- 肺部病理学 肺部病理学
- 内部医学 内部医学
- 医疗保健管理的管理
背景情况:
- 实施慢性阻塞性肺病 (COPD) 的标准护理面临挑战.
- 对COPD急性恶化 (AECOPD) 的住院治疗提供了改善长期患者管理的机会.
研究的目的:
- 在AECOPD入院期间确定与改善30天患者护理相关的住院干预措施.
- 在退院后30天内分析COPD治疗改善的预测因素.
主要方法:
- 这项前性研究涉及10个以色列医疗中心的234名患者,他们被住院治疗了AECOPD (2017-2019).
- 退院30天后的半结构化后续电话评估了六个关键的COPD护理领域.
- 多变量分析确定了每个护理领域的预测因素.
主要成果:
- 较低的30天再录取率与戒烟和氨酸阻断剂处方有关.
- 预计30天使用长效支气管扩展剂 (LABD) 的入院启动/延续;38%的患者在入院期间没有处方时继续使用LABD.
- 在住院期间每日呼吸器理疗预测戒烟 (AOR 5.1),而不是仅仅是建议.
- 退院后的戒烟 (5%) 和肺部康复 (1%) 项目需要书面推.
结论:
- 在AECOPD期间的标准医院程序可以显著影响长期COPD护理.
- 针对性医院干预措施对疾病结果和出院后的患者管理产生了积极影响.
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