心血管外科手术的术后结果由执业护士管理
Masato Saitoh1, Takuma Yamasaki2, Tomoaki Tanabe2
1Department of Cardiovascular Surgery, Ayase Heart Hospital, 2-16-7 Yanaka, Adachi-Ku, Tokyo, 120-0006, Japan. m.saito@ayaseheart.or.jp.
General thoracic and cardiovascular surgery
|February 23, 2025
概括
执业护士 (NPs) 提供安全的心血管手术护理,与医生结果相匹配. 他们的参与导致了更短的住院时间和更快的康复,证明了对患者护理的重大益处.
科学领域:
- 心血管外科心血管外科
- 医疗保健管理的管理
- 护理实践 护理实践
背景情况:
- 日本心血管外科医生的高工作量需要探索新的护理模式.
- 实践护士 (NP) 正在考虑减轻外科医生的工作负担并改善患者护理.
- 评估NP参与对术后结果的影响至关重要.
研究的目的:
- 评估与NP联合管理管理的心血管手术的术后结果.
- 为了比较只有医生 (DR) 和医生-NP联合管理 (NP) 组之间的结果.
主要方法:
- 追溯观察性研究设计.
- 包括从2019年4月到2024年3月接受预定心血管手术的患者.
- 在DR和NP组之间比较30天死亡率和其他术后结果.
主要成果:
- 在NP和DR组之间30天死亡率没有显著差异.
- 在NP组显示显著更短的住院时间,ICU停留,和更快的行走 (50米步行时间).
- 没有观察到术后并发症发生率的显著差异.
结论:
- 执业护士可以提供安全的术后护理,与心血管外科手术中的医生相当.
- NP联合管理与减少住院时间和改善患者康复有关.
- 实施NP可以是一个可行的策略来管理外科医生的工作量,并提高术后护理的效率.
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