在患有严重疾病的人群中,特种门诊息护理利用的预测因素
Paige Comstock Barker1, Rebecca Liddicoat Yamarik2, Oluwaseun Adeyemi3
1Department of Medicine (P.C.B.), University of Florida Health, Gainesville, Florida, USA.
Journal of pain and symptom management
|August 23, 2024
概括
门诊息护理 (OPC) 是严重疾病患者未充分利用的. 教育水平较低,功能限制,年龄较大,女性性别和社会支持较少是OPC诊所访问的障碍.
科学领域:
- 息护理研究 息护理研究
- 医疗保健服务研究 医疗服务研究
- 老年医学 老年医学
背景情况:
- 门诊息治疗 (OPC) 对患有严重疾病的个人提供了显著的好处.
- 然而,存在重大障碍,阻碍这些基本服务的广泛使用.
研究的目的:
- 确定关键的患者,提供者,诊所和医疗保健系统与门诊息治疗 (OPC) 诊所利用相关的因素.
- 该研究旨在了解获得息护理服务的驱动因素和障碍.
主要方法:
- 一个多中心,随机对照试验 (紧急医疗缓和护理访问) 与护士领导的电话病例管理与OPC进行了比较.
- 该研究包括603名50岁以上的晚期癌症或末期器官衰竭患者,来自19个急诊室.
- 使用混合效应的障碍模型来分析影响OPC利用的因素.
主要成果:
- 大约53.6%的患者参加了至少一次OPC访问.
- 较低的教育程度,显著的功能限制和充血性心力衰竭与较低的初始诊断出席率有关.
- 较高的症状负担与增加的初始诊断出席率相关,而年龄较大,女性性别和未婚状态与随访率降低有关.
结论:
- 改善OPC利用需要针对教育程度较低,功能限制较大,年龄较大,女性性别较高,社会支持有限的个体进行有针对性的干预.
- 解决这些具体障碍对于改善人们获得息护理服务至关重要.
- 来自NCT03325985试验的结果为医疗保健提供者和决策者提供了可操作的见解.
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