跨学科团队的物理治疗师:在部和膝关节关节整形术后支持退院
Sheri Dingman1,2, Ian Luther1,2
1SheriDingman, MsPT, DPT, Physical Therapist, Inpatient Rehabilitation Department, Mayo Clinic Florida, Jacksonville, Florida.
Orthopedic nursing
|April 1, 2025
概括
这项研究突出了成功的骨科同日出院计划,改善了手术后的患者动员. 该倡议增加了当天出院的数量,但没有对再接收率产生不利影响.
科学领域:
- 整形外科手术 整形外科手术
- 物理疗法物理治疗
- 提高质量 提高质量
背景情况:
- 在骨科中实施当天出院计划带来了独特的挑战.
- 有效的患者动员对于在重大关节关节整形手术后成功在同一天出院至关重要.
研究的目的:
- 为了评估物理治疗师领导的同一天出院计划对骨科患者的有效性.
- 评估该计划对患者动员,出院率和安全结果的影响.
主要方法:
- 一个质量改进项目,涉及物理治疗师,职业治疗师,整形外科医生和麻醉后护理单位 (PACU) 护士之间的合作.
- 专注于为接受全关节和膝关节整形手术的患者制定安全动员目标.
- 在两年时间内,收集关于出院率,再接收率和返回手术室的数据.
主要成果:
- 该计划显示,在接受全关节和膝关节整形手术的患者中,同日出院率有所提高.
- 没有观察到对患者再入院率的负面影响.
- 没有记录患者返回手术室的需求增加.
结论:
- 可以成功实施骨科同日出院计划,重点是物理治疗师指导的动员,可以成功实施.
- 这种方法提高了效率,而不会损害患者的安全或增加不良结果.
- 跨学科的合作是成功实施这些创新的核准协议的关键.
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