对于COPD的医院到家庭过渡性护理对以患者为中心的结果的影响
Yukyung Park1, Woo Jin Kim2, Seon Sook Han2
1Department of Preventive Medicine, Kangwon National University Hospital, Chuncheon, Republic of Korea.
Respiratory care
|September 10, 2024
概括
过渡期护理显著改善了慢性阻塞性肺病 (COPD) 患者以患者为中心的结果,包括减少症状和增强体验. 这项研究强调了对COPD管理的结构化解药后支持的好处.
科学领域:
- 肺部医学 肺部医学
- 医疗保健服务研究 医疗服务研究
- 患者护理 患者护理
背景情况:
- 已知过渡性护理可以改善COPD患者的健康结果,并减少COPD患者的医疗保健利用率.
- 关于过渡期护理对患者中心结果 (如症状和经历) 的影响的研究有限.
研究的目的:
- 评估综合性过渡期护理计划对COPD患者以患者为中心的治疗结果的影响.
- 为了比较过渡期护理和常规护理组之间的症状负担,疾病意识和患者经验.
主要方法:
- 在韩国两所大学医院对179名COPD患者进行了一项单盲随机对照试验.
- 干预组接受了结构化的过渡性护理,包括退院后的规划,教育,呼吸练习,咨询,家庭访问和社会服务转介.
- 通过比较呼吸症状 (修改的医学研究委员会得分) 和在过渡性护理和常规护理组之间以患者为中心的措施来评估结果.
主要成果:
- 过渡期护理组在修改医学研究委员会 (P = .002) 和COPD评估测试 (P = .001) 评分中显示出显著的改善.
- 接受过渡护理的患者报告说,疾病意识提高,吸入器使用增加 (P = .002),抑郁和焦虑水平降低.
- 过渡期护理还导致了患者在住院期间的更好的体验 (P = .036),出院准备 (P = .003) 和出院后的管理 (P = .003).
结论:
- 基于证据的过渡期护理服务对COPD患者的以患者为中心的结果产生了积极的影响.
- 这些发现支持将以患者为中心的过渡期护理作为所有COPD患者护理的标准组成部分.
关键词:
慢性慢性肺炎是一种慢性慢性肺炎,COPD是一种慢性肺炎.护理捆绑包 护理捆绑包释放护理计划计划 释放护理计划患者为中心,以患者为中心.随机对照试验是随机对照试验.基于团队的基于团队的团队.过渡性护理是指过渡性护理.更多相关视频
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