一种肠道习惯评估工具的试点,以早期识别Clostridioides difficile感染
Shelley E Kon1,2, Christine Gunter1, Heidi Hough1
1VA Eastern Colorado Health Care System, Aurora, CO, USA.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|November 20, 2024
概括
一个新的肠道习惯评估工具 (BHAT) 显著改善了医疗保健提供者讨论患者肠道习惯的舒适性. 这种工具有助于准确评估和及时诊断,包括像Clostridioides difficile.这样的疾病.
科学领域:
- 医学教育 医学教育
- 临床实践 临床实践
- 患者评估 患者评估
背景情况:
- 对医疗保健提供者来说,讨论肠道习惯可能是一个挑战.
- 准确评估肠道习惯对于患者的诊断和护理至关重要.
- 现有的工具可能无法充分支持敏感和有效的沟通.
研究的目的:
- 开发和评估一个肠道习惯评估工具 (BHAT).
- 提高医疗保健提供者的技能,以敏感和准确地讨论患者的肠道习惯.
- 改善及时诊断与肠道功能相关的疾病.
主要方法:
- 开发了肠道习惯评估工具 (BHAT).
- 通过为护士,护士助理和医生提供教育课程来实施BHAT.
- 在教育前后进行匿名调查,使用5分利克特级来评估舒适度和意识.
主要成果:
- 在教育后,100%的参与者报告说,舒适地讨论肠道习惯,比教育前水平显著增加 (p=0.0084).
- 意识到有助于肠道习惯讨论的工具在教育后从34%增加到77% (p<0.0001).
- 医疗保健提供者发现BHAT是有用和相关的.
结论:
- BHAT有效地提高了临床医生的舒适度和讨论患者肠道习惯的技能.
- 该工具显示了提高诊断准确性的潜力,特别是对于像Clostridioides difficile.这样的疾病.
- BHAT是改善与肠道健康相关的沟通和患者护理的有希望的资源.
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