实施一个多站点共享血液透析护理计划
David Green1,2, Angela Pietrafesa1, Marianne Reyes1
1Churchill Hospital Oxford Kidney Unit, Oxford, UK.
BMJ open quality
|October 30, 2024
概括
实施共享血液透析护理 (SHC) 显著增加了患者在七个中心的治疗参与. 这一举措改善了患者的激活和自我护理,证明了多站点SHC计划的成功.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 患者护理 患者护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 接受中心化血液透析 (HD) 的成年人表现出低患者激活率,与不良健康结果相关.
- 共享血液透析护理 (SHC) 是一项旨在增强患病激活和自我护理的干预措施.
研究的目的:
- 在7个疾病中心增加积极参与共享血液透析护理 (SHC) 的患者比例.
- 实施和扩展一个多站点的SHC计划,改善患者的自我护理和治疗参与度.
主要方法:
- 在中央和卫星高清中心利用了连续的计划-做-学习-行动 (PDSA) 周期.
- 实施的干预措施包括员工培训,教育材料的患者和员工伙伴关系,虚拟课程,健康保健冠军和电子健康记录修改.
- 每月监测患者的SHC参与度和能力水平.
主要成果:
- 患者参与SHC从2022年4月的4% (19/483) 增加到2023年12月的43% (220/511).
- 在执行SHC的患者数量及其能力阶段显著且持续增长.
- 成功实施,扩展和维护了一个多站点的SHC程序,之前的工作人员和患者经验有限.
结论:
- 一个多站点共享的血液透析护理计划可以有效地实施和维持.
- SHC干预成功增强了血液透析患者的患者激活和自我护理.
- 这种方法为改善患者参与慢性疾病管理提供了一个可扩展的模型.
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