一个护士提供的,技术支持的HIV门诊患者模型的临床结果
Sara Day1, Rebecca Wilkins1, Andrew Murungi2
1Chelsea and Westminster Hospitals, NHS Foundation Trust, London, UK.
Journal of the International Association of Providers of AIDS Care
|September 19, 2024
概括
一个由护士领导的新型数字艾滋病毒护理模型,Klick,证明了安全有效的患者管理. 这种创新方法实现了高标准的护理和比国家基准更好的结果.
科学领域:
- 数字健康数字健康
- 艾滋病病毒药物 艾滋病病毒药物
- 护理实践的护理实践
背景情况:
- 2020年推出的Klick模型提供了一个数字化,护士主导的方法,用于艾滋病毒门诊护理.
- 它使用智能手机应用程序预约,远程咨询和结果访问.
研究的目的:
- 评估Klick模型是否符合英国艾滋病毒协会 (BHIVA) 的监测指南.
- 评估护士领导的,数字支持的艾滋病毒护理的安全性和有效性.
- 将Klick的业绩与国家BHIVA审计调查结果进行比较.
主要方法:
- 对40个Klick患者咨询的审计与BHIVA标准相比.
- 与管理Klick路径的护士进行了定性采访.
- 将Klick审计数据与国家BHIVA审计结果进行比较.
主要成果:
- 克里克满足了BHIVA5项标准中的4项,同时100%记录了联合药物,吸烟史,血压和病毒载量.
- 在89%的患者中实现了心血管风险计算.
- 在24个可比措施中,Klick在22个方面表现优于国家BHIVA审计结果.
- 护士们安全地管理复杂的病例,包括并发病和多药,所有患者都实现了病毒抑制.
结论:
- 通过数字支持,护士主导的护理对于稳定的HIV阳性患者来说是安全有效的.
- 这种模式使专业顾问能够管理更复杂的案件.
- 克里克模型提供了全面的,以人为中心的护理,与以前的国家审计相比,其结果更好.
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