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决定去急诊室:炎症性关节炎患者的经验
Emilie Pianarosa1, Pam Roach2, Claire E H Barber3
1E. Pianarosa, BSc, MPH, Cumming School of Medicine, University of Calgary, Calgary, Alberta.
The Journal of rheumatology
|June 2, 2024
概括
患有炎症性关节炎 (IA) 的患者由于缺乏足够的门诊护理,经常前往急诊室 (ED). 改善类风湿病的门诊护理模式可以减少IA患者可避免的ED使用.
科学领域:
- 类风湿病学 类风湿病学
- 医疗保健服务研究 医疗服务研究
- 紧急医疗 紧急医疗
背景情况:
- 门诊护理系统有时不足以满足患者的健康需求.
- 患有炎症性关节炎 (IA) 的患者可以在初级保健选择有限时使用急诊室 (ED).
研究的目的:
- 描述影响IA患者在ED寻求护理的决定因素.
- 探索患者对ED护理的经验,并对IA相关问题进行退院后的随访.
主要方法:
- 采用了嵌入式混合方法方法.
- 定量数据与从在线调查中获得的定性自由文本响应进行了背景化.
- 该调查的目标是阿尔伯塔州居民被诊断出IA,他们曾访问ED.
主要成果:
- 82名患有各种IA疾病 (风湿性关节炎,牛皮性关节炎,脊椎关节炎,痛风) 的参与者完成了调查.
- 主要原因是ED访问包括关节炎 (37%),胸痛 (15%),损伤 (12%),和感染 (11%).
- 系统协调的挑战和压力需要ED参加评估,在爆发期间对类风湿病咨询的认识有限.
结论:
- 建议对类风湿病的门诊护理模式进行修改.
- 改进的模型可以更好地满足患者的需求,并减少IA患者不必要的ED利用.
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