在儿科心脏病诊所的医务助理协助的过渡活动
Debora Burger1, Quin E Denfeld1,2, Karen Uzark3
1Oregon Health & Science University, School of Nursing, Portland, OR, USA.
Health care transitions
|December 23, 2024
概括
一项由医务助理协助的过渡活动显著增加了对患有先天性心脏病 (CHD) 的儿科患者的记录讨论. 工作人员认为低资源的干预措施是可以接受的,并建议将其继续用于终身疾病管理.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 医疗保健管理的管理
- 患者过渡护理 患者过渡护理
背景情况:
- 正式的过渡计划对于儿童患者终身先天性心脏病 (CHD) 管理至关重要.
- 在资源有限的儿科心脏病诊所实施这些计划存在挑战.
- 这项研究评估了一种新的医疗助理 (MA) 方便的方法,以改善过渡护理文档.
研究的目的:
- 评估MA促进过渡活动在加强过渡讨论文件的有效性.
- 描述医疗保健工作人员接受和愿意继续这种干预的特点.
主要方法:
- 一项前性探索性研究在五周内进行.
- 儿科心脏病患者 (13岁以上) 选择过渡话题与他们的心脏病学家讨论,由MA.
- 一个历史控制组被用于对照性分析的文件率,与工作人员通过问卷评估的可接受性.
主要成果:
- 与历史对照组相比,在MA促进组中记录了更多的过渡讨论 (p < 0.001).
- 患者讨论了5个主题的中位数,超过了2个请求的中位数.
- 所有14名参与的员工都认为该活动是可以接受的,并表示愿意继续使用该活动.
结论:
- 一个由MA促进的过渡活动有效地增加了儿科心脏病学环境中关键过渡讨论的文档.
- 这种资源较少的干预措施受到工作人员的欢迎,并显示出可持续实施的潜力.
- 这些发现支持将MAs整合到过渡护理流程中,以改善患者的治疗结果.
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