对于COPD的医院到家庭过渡性护理对以患者为中心的结果的影响
Yukyung Park1, Woo Jin Kim2, Seon Sook Han2
1Dr. Park is affiliated with Department of Preventive Medicine, Kangwon National University Hospital, Chuncheon, Republic of Korea.
Respiratory care
|February 18, 2025
概括
过渡期护理显著改善了COPD患者以患者为中心的治疗结果,减少了症状并增强了体验. 这项研究强调了需要普遍的,以患者为中心的过渡期护理计划.
科学领域:
- 肺部病理学 肺部病理学
- 医疗保健管理的管理
- 以患者为中心的护理
背景情况:
- 对于患有慢性阻塞性肺病 (COPD) 的患者来说,过渡期护理至关重要,这会影响医疗保健的使用和结果.
- 有限的研究存在于它对患者为中心的结果,如症状和经验的影响.
研究的目的:
- 评估全面的过渡期护理计划对COPD患者以患者为中心的治疗结果的影响.
- 在过渡期护理和常规护理组之间比较症状严重程度,疾病意识,药物坚持,心理健康和患者体验.
主要方法:
- 一个单盲随机对照试验,涉及来自韩国两所大学医院的179名COPD患者.
- 干预组接受了出院后的规划,教育,呼吸练习,咨询,家庭访问和社会服务推.
- 测量结果包括修改后的医学研究委员会 (MMRC) 评分,COPD评估测试 (CAT) 评分,疾病意识,吸入器使用,抑郁/焦虑水平和患者体验领域.
主要成果:
- 过渡期护理组在MMRC (P = .002) 和CAT分数 (P = .001) 中显著改善.
- 接受过渡护理的患者报告说,疾病意识提高,吸入器使用增加 (P = .002),抑郁和焦虑程度降低.
- 医院住院经验 (P = .036),出院前的准备 (P = .003) 和出院后的管理 (P = .003) 均有显著改善.
结论:
- 基于证据的过渡期护理服务积极影响COPD患者以患者为中心的结果.
- 研究结果支持将以患者为中心的过渡期护理作为COPD管理的通用标准.
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