通过使用电子医疗记录和决策支持工具,评估第三级护理综合儿科喘教育计划的实施情况
Lynnette Lyzwinski1, Madhura Thipse1, Andrea Higginson2
1Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
概括
一个儿童喘教育计划改善了家庭的知识,并显示了初步减少住院治疗. 然而,长期效益需要进一步研究,并可能需要更密集的教育课程,以获得持续的影响.
科学领域:
- 儿科肺病学 儿科肺病学
- 医疗保健服务研究 医疗服务研究
- 改善医疗保健的质量
背景情况:
- 对于儿科患者来说,喘自我管理教育至关重要,但在住院后往往无法获得.
- 低于最佳的教育或缺乏教育导致儿童的喘控制不佳.
研究的目的:
- 实施和评估一个全面的儿科喘教育计划.
- 评估自我管理知识和行为的变化 (ED访问/住院治疗减少).
主要方法:
- 该计划采用知识翻译行动框架和i-PARIHS模型进行了调整.
- 由经过认证的护士/治疗师在放学后4周内提供教育.
- 将结果与历史队列进行了比较. 计划实施前.
主要成果:
- 计划入学率高 (75%),具有积极的家庭接受度和知识增加.
- 一年后,重复住院的最初减少了54% (原始分析).
- 经调整后的分析显示,在3个月后出现了显著的短期下降,但在1年后没有持续.
结论:
- 喘教育计划是可以接受的,并增加了患者的知识.
- 住院病例的长期减少没有持续,这表明需要进行更密集的干预.
- 未来的课程应该包括多个会议,以确保持续的知识和行为变化.
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