在初级医疗保健中患有慢性疾病的成人的药物坚持:质量改进项目
Claúdia Jorge Oliveira1,2, Helena Maria Guerreiro José2,3, Emília Isabel Martins Teixeira da Costa2,4
1Health School, Polytechnic Institute of Beja, 7800 Beja, Portugal.
Nursing reports (Pavia, Italy)
|July 25, 2024
概括
通过基于证据的护理实践,可以改善患有慢性疾病的成年人对药物的坚持. 这项质量改进项目增强了患者教育和专业参与,导致了显著的坚持改进.
科学领域:
- 护理 护理 护理
- 主要医疗保健是一级医疗保健.
- 提高质量 提高质量
背景情况:
- 对于管理慢性疾病的成年人护士来说,药物坚持的挑战是复杂的.
- 识别不遵守的障碍是定制干预的关键.
- 慢性疾病需要持续的患者遵守有效管理.
研究的目的:
- 增强患有慢性疾病的初级医疗保健成年人的药物坚持.
- 促进基于证据的实践,并识别坚持障碍/促进者.
- 开发和评估最佳遵守策略,涉及护理团队.
主要方法:
- 使用JBI证据实施,PACE和GRiP审计工具.
- 一个分阶段的方法包括基线审计,反和后续审计.
- 在2021年9月至2022年3月期间在社区护理单位进行.
主要成果:
- 最初的最佳实践合规程度较低;干预后的合规程度明显改善,在许多领域达到100%.
- 关键的改进包括加强患者教育和定期的遵守评估.
- 观察到医疗保健专业人员在遵守活动中的参与度增加.
结论:
- 结构化,基于证据的干预措施有效地改善了慢性疾病成年人的药物坚持.
- 该项目展示了在初级保健中广泛应用的潜力,以改善患者的治疗结果.
- 护理团队的参与和增强的知识对于成功的坚持策略至关重要.
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