荷兰的关骨折患者护理途径的变化
Hanne-Eva van Bremen1,2,3,4, Thamar Kroes5, Lotta J Seppala3,4
1Amsterdam Bone Center, Movement Sciences Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
Journal of clinical medicine
|August 29, 2024
概括
荷兰的关节骨折护理途径显示出显著的变异性,阻碍了全国范围内实施综合性直立老年护理模型. 需要进一步的研究来了解对患者护理质量的影响.
科学领域:
- 老年病的医生 老年病的医生
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
背景情况:
- 综合性正经老年护理改善了患有关节骨折的老年人的治疗结果.
- 有效的护理依赖于全面的,标准化的护理途径.
- 在关节骨折护理途径中存在的局部变异性需要评估.
研究的目的:
- 评估荷兰当前的关节骨折护理途径.
- 为了确定护理途径描述和结构的变化.
- 为了确定整形老年人护理模式实施的程度.
主要方法:
- 通过向所有荷兰医院发送的调查,进行全国性的库存研究.
- 在收集的关节骨折护理途径和协议中对护理要素的系统分析.
- 评估已实施的正经老年护理模式 (综合与外科医生主导).
主要成果:
- 响应率为79% (56/71家医院),其中46家提供护理途径.
- 在 41 个已识别的护理要素的描述中观察到显著的变化 (7%-87%).
- 整合 (责任共享) 和骨科创伤外科医生领导的护理模式的平等分配.
结论:
- 荷兰的关节骨折护理途径在内容和结构上表现出相当大的差异.
- 在全国范围内实施推的综合性直立老年护理与共享责任尚未实现.
- 途径变异性对护理质量的临床影响需要进一步研究.
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