实施一个脆弱性特定的术后顺序,以改善选择性胸部手术后脆弱成年人的术后结果
Amani Allen1, Mary Ann Francisco, Jessica Jatis
1Author Affiliations: The University of Chicago Pritzker School of Medicine (Dr Allen), Department of Public Health Sciences (Dr Nordgren), Department of Anesthesia and Critical Care (Dr Rubin), Section of Geriatrics and Palliative Medicine, Department of Medicine (Drs Huisingh-Scheetz and Gleason), Section of Thoracic Surgery, Department of Surgery (Drs Bryan, Donington, Ferguson, and Madariaga), University of Chicago, Chicago, Illinois; and Department of Nursing Research and Evidence Based Practice (Mss Francisco, Jatis, and Turner), University of Chicago Medical Center, Chicago, Illinois.
实施脆弱性特定的术后顺序 (FPOS) 提高了护士对脆弱外科病人的专业护理的知识和利用,提高了术后结果.
科学领域:
- 老年人手术是一门老年人手术.
- 患者的治疗结果.
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 虚弱是不良外科手术结果的重要预测因素.
- 当前的术后护理方案往往忽略了脆弱状态.
- 缺乏对脆弱患者的标准化护理,导致结果不理想.
研究的目的:
- 为了解决缺乏标准化的协议,以优化脆弱患者的术后护理.
- 在一个学术医疗中心实施和评估一个脆弱性特定的术后秩序集 (FPOS).
主要方法:
- 使用了准实验性的实施前/后研究设计.
- 采用了覆盖范围,有效性,采用,实施,维护 (RE-AIM) 框架.
- 开发并实施了一套针对脆弱性的术后顺序 (FPOS),并进行了量身定制的干预.
主要成果:
- 在护士自我报告的对脆弱的熟悉度中观察到显著的改善 (P = .003).
- 在护理人员中提高对FPOS的认识 (P < .001).
- 订单的使用率更高,用于痴呆症预防,营养,睡眠和感官支持 (P < .001).
结论:
- 实施FPOS有效地提高了护士对脆弱性的知识和意识.
- FPOS导致了针对脆弱患者的针对性术后干预的使用率增加.
- 这一举措证明了改善脆弱个体专业化术后护理的成功策略.
更多相关视频
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
相关概念视频
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Tracheostomy Care I: Pre-procedural Steps
Required Equipment
The equipment necessary for tracheostomy care includes:
Chronic Obstructive Pulmonary Disease-V: Nursing Management
Assessment
Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
Flail Chest-I
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
