对中风患者的息护理:实现四重目标
Kennedy M Boone-Sautter1, M Andrea Peterson1, Kristyn Vermeesch1
1Corewell Health West, 333 Bridge Street NW, Grand Rapids, MI, USA.
概括
改善中风患者获得息护理的机会增加了利用率,并将护理转移到家庭环境中,减少住院时间和成本. 这有助于对患有严重疾病的患者提供更好的终身护理.
科学领域:
- 神经学 神经学
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 脑卒中患者需要复杂的护理,并承担高成本.
- 科尔韦尔西医疗 (CH-W) 发现有必要改善中风患者的终身护理.
- 在2022年之前,现有的息护理基础设施对于这个人群来说是不够的.
研究的目的:
- 评估增强息护理实践对患者结果的影响.
- 为了评估护理费用的变化,随着息护理的改善.
- 确定对中风患者扩展息护理服务的有效性.
主要方法:
- 对中风患者的息治疗转诊的回顾性审查 (2021-2023年).
- 对患者结局的描述性分析.系统前后改善.
- 分析住院治疗与家庭护理利用情况的变化.
主要成果:
- 在急诊室的息护理咨询显著增加 (一个月内从6个增加到74个).
- 住院治疗招生减少:熟练护理设施 (25%至11.3%),住院康复 (18.3%至9.7%).
- 使用息治疗的中风患者的医疗保健利用率和成本较低,他们更喜欢家庭临终关怀.
结论:
- 扩大息护理资源和标准化转诊增加了服务利用率.
- 护理态度发生了转变,使得更多的患者能够在家中接受息护理.
- 该倡议改善了中风患者的终身护理选择,有利于在家治疗.
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