在过渡到成人护理期间患者导航的有效性:一项随机临床试验
Susan Samuel1,2,3, Zoya Punjwani1,2, Daniella San Martin-Feeney4
1Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
JAMA pediatrics
|February 10, 2025
概括
患者导航器并没有显著减少青少年过渡到成人护理的急诊室访问. 需要进一步的研究来确认特定患者群体的潜在益处.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床试验 临床试验
- 青少年和年轻人的医学
背景情况:
- 患有慢性疾病的过渡年轻人面临复杂的医疗保健挑战.
- 患者导航是提议的一项策略,旨在改善这一过渡时期的护理.
- 以前的研究缺乏非随机设计,并专注于单一疾病队列.
研究的目的:
- 为了比较患者导航服务与常规护理在减少急诊室 (ED) 使用方面的有效性.
- 评估在医疗保健过渡期间患有慢性健康状况的青少年和新兴成年人的患者导航.
主要方法:
- 实用,并行组,非盲目的随机临床试验.
- 1:1分配给患者导航员或常规护理,长达24个月.
- 加拿大阿尔伯塔省16至21岁的年轻人,患有慢性疾病.
主要成果:
- 分析了334名参与者;164人接受了导航服务,171人接受了通常的护理.
- 导航员干预并没有显著地与所有原因ED访问率的减少有关.
- 通过精神健康并发症观察到效果的修改,但在统计学上没有显著意义.
结论:
- 患者导航服务在这个队列中没有显著减少ED访问.
- 该研究可能缺乏足够的样本大小来检测显著差异.
- 需要进一步的研究,以了解导航员对特定人群的影响.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.2K
09:01Development of an Audio-based Virtual Gaming Environment to Assist with Navigation Skills in the Blind
Published on: March 27, 2013
14.3K
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
868
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
868
Patient-centered Care
1.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
1.9K
Planning Nursing Care I
4.3K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.3K
Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
Clinical Trials
6.6K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.6K
