使用护理导航来改善老年成人患者中患者报告的结果:试点研究的初步结果
Paige Coyne1,2,3, Laura Susick1,2,3, Lonni Schultz1,2,3
1Department of Public Health Sciences, Henry Ford Health, Detroit, MI, USA.
Journal of patient experience
|November 1, 2024
概括
亨利·福特健康的高级护理导航计划 (SCNP) 改善了老年人的健康相关生活质量,减少了焦虑和抑郁. 这项试点研究显示了对患者幸福感的积极影响.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 患者倡导 患者倡导
背景情况:
- 由于多种疾病和残疾,老年人面临复杂的健康和社会护理需求.
- 协调对老年人的护理对患者,护理人员和医疗保健提供者来说可能是个挑战.
- 亨利·福特医疗 (HFH) 推出了一项高级护理导航计划 (SCNP),以应对这些挑战.
研究的目的:
- 评估HFH高级护理导航计划 (SCNP) 在改善老年成人患者的健康和福祉方面的有效性.
- 评估护理导航对患者报告结果的影响,包括生活质量,抑郁和焦虑.
- 为第二阶段奠定基础,该阶段将检查医疗保健利用情况.
主要方法:
- 老年HFH患者或他们的护理人员被他们的护理团队转介到SCNP.
- 高级导航员通过电话联系患者/护理人员,讨论需求和计划.
- 一个评估组参加了基线和后续访谈 (3,6,9个月),使用患者报告的结果指标.
主要成果:
- 在EQ5D (与健康相关的生活质量) 评分中观察到显著的改善.
- 患者报告结果测量信息系统 (PROMIS) 的测量结果显示,抑郁症和焦虑症的显著减少.
- 这些发现表明,SCNP对老年成人患者的健康和福祉有积极的影响.
结论:
- 亨利·福特医疗机构的老年护理导航计划 (SCNP) 对老年人的生活质量和心理健康产生了显著的积极影响.
- 护理导航似乎是支持复杂患者群体的有效策略.
- 第二阶段的进一步研究将调查该计划对医疗保健利用的影响.
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