儿科连续护理密集医疗计划对患者和家长结果的影响:一项未盲目的随机对照试验
Jennifer K Walter1, Vanessa Madrigal2, Parth Shah3
1Department of Pediatrics at Children's Hospital of Philadelphia and Perelman School of Medicine, Philadelphia, Pennsylvania, United States.
Journal of pediatric intensive care
|June 26, 2024
概括
一个连续护理密集医生 (CCI) 计划没有改善儿科重症监护室 (PICU) 的患者或家庭的结果. 然而,该计划被提供商认为是可行的和可接受的,具有更高效决策的潜力.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 改善医疗保健质量 改善医疗保健质量
- 以患者为中心的护理
背景情况:
- 在儿科重症监护室 (PICU) 长期住院的患者经常经历分散的护理.
- 护理连续性模型旨在改善患者和家庭的结果.
- 持续护理强度医师 (CCI) 的标准化计划需要对有效性和可行性进行评估.
研究的目的:
- 评估标准化的CCI计划对长期PICU患者患者和家庭的结果的影响.
- 评估实施CCI计划的可接受性和可行性.
主要方法:
- 在PICU中进行了一项患者一级的无盲随机对照试验.
- 干预包括标准化的CCI角色,沟通培训和结构化的联系时间.
- 参与者包括长期PICU患者,他们的父母和PICU护理人员.
主要成果:
- 在CCI干预和患者PICU停留时间或其他临床/家长结果之间没有发现显著的关联.
- 该干预措施在招生,留住和实施方面证明了可行性.
- 大多数供应商都认为CCI计划是可以接受的,理由是潜在的更高效的决策,尽管有些人指出时间问题.
结论:
- 标准化的CCI干预没有改善PICU中患者或家庭的结果.
- PICU的参与者认为CCI计划是可行的和可以接受的.
- 儿童重症监护计划可以为儿童重症监护的决策效率提供好处.
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