在NAVKIDS2中,我们学习了如何将结果与干预相匹配
Rachel Willard-Grace1, Delphine S Tuot2
1Center for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco, California, USA.
针对儿科慢性病 (CKD) 的患者导航程序没有显示出定量健康改善. 然而,NAVKIDS试验在减少照顾者的负担和改善这些儿童的照顾协调方面发现了显著的好处.
科学领域:
- 儿科脏病学 儿科脏病学
- 医疗保健服务研究 医疗服务研究
- 慢性疾病管理 慢性疾病管理
背景情况:
- 儿童慢性病 (CKD) 存在重大挑战.
- 边缘化的人群在获得基于证据的护理方面面临额外的障碍.
- 患者导航程序旨在减轻这些障碍并改善健康结果.
研究的目的:
- 评估患者导航计划对来自边缘化背景的CKD儿童的影响.
- 评估患者导航在改善健康结果和减少护理障碍方面的有效性.
主要方法:
- 在NAVKIDS试验中,有162名患有慢性脏病的儿童参加了试验.
- 实施了患者导航干预措施.
- 收集了定量自我报告的健康措施和定性数据.
主要成果:
- 干预没有给自我报告的健康状况带来统计学上显著的定量变化.
- 定性调查结果显示,护理人员的压力大大减少.
- 促进护理协调是确定的一个关键好处.
结论:
- 患者导航在支持患有慢性病儿童的家庭方面表现有前途,特别是在管理护理的非临床方面.
- 需要进一步的研究来开发护理协调,赋权和自我管理的定量指标.
- 像减少护理人员负担这样的定性好处至关重要,应该进一步探索.
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