为接受带血移植的患者实施和评估出院计划
Lu Huang1,2, Yan Zhu2, Yun Wu2
1School of Management, University of Science and Technology of China, Hefei, Anhui, China (mainland).
Annals of transplantation
|June 18, 2024
概括
带血移植 (UCBT) 患者的出院计划改善了自我效能和生活质量 (QoL),尽管它没有减少再入院. 这凸显了结构化放电规划对于转移回家的UCBT受益人的重要性.
科学领域:
- 血液学 血液学 血液学
- 移植医学 移植医学
- 患者护理管理的管理.
背景情况:
- 带血移植 (UCBT) 患者面临重大挑战,包括高比例的非计划性再入院和降低生活质量 (QoL).
- 有效的退院后护理策略对于改善这种脆弱患者群体的治疗结果至关重要.
研究的目的:
- 评估结构化出院计划计划对UCBT接受者的计划外再入院,自我有效性,QoL和临床结果的影响.
- 评估实施从入院到移植后100天的出院计划的可行性和有效性.
主要方法:
- 一项前性研究涉及72名UCBT患者,随机分为对照组 (常规护理) 和干预组 (出院计划).
- 再入院率在出院后的30天和UCBT后的100天被跟踪.
- 在基线和UCBT后100天,使用验证的尺度 (一般自我效率尺度,FACT-BMT) 测量自我效率和QoL.
主要成果:
- 与常规护理相比,出院计划并没有显著降低30天或100天的再入院率 (P > 0.05).
- 干预组表现出明显改善的自我有效性 (P < 0.001).
- 通过FACT-BMT测量的生活质量得分在大多数维度和100天的总得分 (P <0.05) 中在干预组显著更高.
结论:
- 结构化的出院计划可以提高自我效能,并改善接受UCBT的患者的生活质量.
- 虽然在本研究中没有影响再入院率,但出院规划对于促进UCBT接受者从医院成功过渡到家庭至关重要.
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