住院肝硬化患者的质量实践指标和治疗结果之间的关系
Natt Munsakul1, Nalerdon Chalermsuksant1, Supatsri Sethasine1
1Division of Gastroenterology and Hepatology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University. 681 Samsen Road, Dusit District 10300, Bangkok, Thailand.
Asian Pacific journal of cancer prevention : APJCP
|December 29, 2024
概括
在肝硬化护理中坚持质量指标可以改善患者的治疗结果. 最佳的护理坚持显著增加了失补偿的儿童-皮格C患者的存活率,证明了标准化治疗过程的价值.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 改善临床质量 改善临床质量
- 患者研究成果研究结果
背景情况:
- 肝硬化管理有所不同,影响患者的预后.
- 评估护理流程和质量实施对于改善结果至关重要.
研究的目的:
- 评估成功的肝硬化护理过程的数量.
- 确定质量声明的实施与肝硬化患者的临床结果之间的关系.
主要方法:
- 住院肝硬化患者的回顾性队列研究.
- 评估了18种基于过程的方法,并根据肝硬化严重程度选择了测量指数.
- 在最佳护理组中,卡普兰-梅尔对90天再入院和死亡率的生存分析.
主要成果:
- 在13个临床过程中,只有5个达到最终目标;在13个质量过程中,只有18个表现差距.
- 顶级质量指数的成就包括对炎的体检查,对自发性细菌腹膜炎的及时抗生素和乳糖治疗.
- 84名患者获得了最佳护理;接受完整质量护理的非补偿儿童-皮格C患者的1个月和3个月生存率显著改善.
结论:
- 建议根据肝硬化治疗的个别阶段量身定制的质量指标.
- 遵守标准化的护理实践可以提高肝硬化患者的临床结果.
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