与癌症患者可避免的30天再入院相关的因素:一个单一机构的研究研究
Monica E Raiss1, Krisha K Mehta2, Xiaoyue Zhang3
1Renaissance School of Medicine at Stony, Brook University, Stony Brook, NY, USA. Monica.Raiss@stonybrookmedicine.edu.
概括
在癌症患者中,意外的再入院往往是可以避免的. 关键因素包括缺乏门诊随访,症状管理不良,社会支持不足,突出了早期息治疗的必要性.
科学领域:
- 在瘤学瘤学.
- 改善医疗保健质量 改善医疗保健质量
- 抚慰性护理是一种缓解性护理.
背景情况:
- 计划外再接收会带来很大的医疗和财务负担.
- 癌症患者面临复杂的护理需求,增加了他们重新入院的敏感性.
研究的目的:
- 确定与瘤病患者可避免住院治疗相关的因素.
- 为旨在减少癌症护理再入院的质量改善举措提供信息.
主要方法:
- 史托尼布鲁克大学医院 (Stony Brook University Hospital) 成年癌症患者出院的回顾性审查 (2021年6月至2022年7月).
- 分析非计划的30天再接收情况,将其分类为可以避免的或不可避免的.
- 检查患者人口统计,癌症特征,社会因素,门诊随访和息护理参与.
主要成果:
- 在468名癌症患者中,有21%的患者经历了30天的再入院,其中51%患有第四阶段的疾病.
- 症状负担,特别是疼痛,从指数入院到再入院 (38%至56%) 显著增加.
- 可避免的再入院 (28%) 与未能成长,缺乏出院后的护理人员,症状指数入院和错过门诊病人的访问有关.
结论:
- 早期的息护理咨询和强大的门诊支持对于管理症状和优化护理过渡至关重要.
- 解决健康的社会决定因素,并确保及时的随访,可以减轻晚期癌症患者的可避免的再入院.
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