一种标准化的过渡方法改善了患有炎症性肠病的年轻成年人的护理
Daphna Katz1,2, Stephanie Lee2,3, Vidiya Sathananthan2,3
1From the Division of Pediatric Gastroenterology, Hepatology and Nutrition, University of Miami, Miami, Fla.
改善患有炎症性肠病 (IBD) 的年轻成年人护理的过渡至关重要. 干预措施增加了过渡讨论和转移启动率,提高了患者护理,而没有增加访问时间.
科学领域:
- 胃肠病学 胃肠病学
- 儿科医疗保健 儿科医疗保健
- 护理医学的过渡 护理医学的过渡
背景情况:
- 患有炎症性肠病 (IBD) 的年轻人在从儿科到成人医疗保健提供者的过渡期间面临着糟糕结果的风险.
- 有效的护理过渡策略对于减轻这些风险和确保护理连续性至关重要.
研究的目的:
- 增加14至17岁患者接受护理过渡的百分比,以及18至21岁患者开始转移到成人IBD提供者的百分比.
- 为了提高患者对护理过渡过程的满意度.
- 为了确保IBD访问的持续时间不会增加,作为平衡措施.
主要方法:
- 在12个月内使用代的计划-做-研究-行动周期实施三项干预措施.
- 使用统计过程控制图表来分析干预影响.
- 基于电子健康记录的匿名满意度调查进行.
主要成果:
- 总的过渡讨论增加到38%的平均值.
- 18-21岁的患者开始转移护理显著增加,在第二次和第三次干预后平均达到30%.
- 没有观察到IBD访问持续时间的显著差异 (P = 0.54),患者满意度仍然很高.
结论:
- 实施的干预措施代表了IBD年轻成年人过渡的新过程中的成功初步步骤.
- 取得了更好的过渡讨论和转移启动率.
- 该研究强调了增强年轻成年人IBD护理过渡的可行性.
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