定制化的项目:病例经理和口腔护理护士之间的全新综合合作方法
Alessio Rizzo1, Antonio Valenti2, Stefano Gianolio3
1Nurse and Head of Organisational and Professional Development, Directorate of Health Professions, Mauriziano Hospital, Turin, Italy.
一个新的患者途径改善了对骨患者进行手术后增强恢复 (ERAS) 协议的遵守. 这种由高级实践护士管理的综合方法,显示了高的坚持率和成功的患者结果.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术护理 医疗护理
- 患者途径 患者途径
背景情况:
- 外科手术后增强恢复 (ERAS) 途径越来越多地被采用,但面临着 Ostomy 管理的挑战.
- 结肠直肠外科手术中的ERAS适应是ERAS的一个关键,但往往很困难的方面.
研究的目的:
- 评估一个新型患者途径的有效性,并纳入ERAS协议.
- 评估高级实践护士参与瘤患者护理途径的影响.
主要方法:
- 99名接受结肠直肠手术并形成静脉瘤的患者的回顾性观察性研究 (2023年1月至12月).
- 两位临床护士专家整合了口腔护理的干预措施和途径.
- 审查了患者管理,遵守ERAS,住院和出院后的结果.
主要成果:
- 观察到对新的口腔护理途径的高度坚持 (95.9%).
- 平均住院时间为11天 (IQR 9),有91%的患者在家出院.
- 98%的人遵守ERAS护理项目;15%的人经历了高输出口腔,只有3%的人重新入院.
结论:
- 与高级实践护士整合瘤患者护理途径,提高了ERAS协议的有效性.
- 新的途径促进了结直肠外科手术患者的高坚持和积极结果.
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