关于改善COPD恶化后放电相关护理的建议:专家小组的共识,重点是低收入和中等收入国家
Adrian Rendon1, Susana Luhning2, Philip Bardin3
1Universidad Autónoma de Nuevo León, Hospital Universitario "Dr. José Eleuterio González", Centro de Investigación, Prevención y Tratamiento de Infecciones Respiratorias (CIPTIR), Monterrey, México.
概括
制定基于证据的出院协议可以改善慢性阻塞性肺病 (COPD) 恶化患者的护理,特别是在低收入和中等收入国家 (LMICs). 这旨在减少再入院并优化医院或急诊室 (ED) 退院后的治疗.
科学领域:
- 肺部病理学 肺部病理学
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 慢性阻塞性肺病 (COPD) 恶化在全球范围内造成重大负担,特别是在低收入和中等收入国家 (LMICs).
- 现有的基于证据的COPD恶化的建议在临床实践中没有得到一致的实施.
- 退院后护理的差距和医疗保健系统的低效率阻碍了最佳的患者结果.
研究的目的:
- 通过制定基于证据的医院出院协议,解决COPD恶化后COPD护理的缺口.
- 将建议集中在改善LMIC的护理和减少恶化的负担上.
- 加强患者管理,降低住院再接收率.
主要方法:
- 在2022年9月召开一个由13名国际肺病学家组成的咨询委员会.
- 审查现有的临床证据,并进行在线调查,包括会议前和会议中的问题.
- 制定协议作为疾病管理计划的一部分,采用跨学科方法和护理包.
主要成果:
- 确定了关键的未满足需求:协议整合不良,离院后护理不一致,医疗保健系统效率低下.
- 根据症状和恶化风险制定了一项协议,以评估再接收风险并优化维持治疗.
- 强调个性化治疗计划和专家转诊,以获得全面的出院后护理.
结论:
- 标准化,基于证据的出院协议对于管理COPD恶化至关重要,特别是在资源有限的环境中.
- 实施需要根据当地环境进行调整,可行性研究,标准化途径和利益相关方参与.
- 这种方法可以减轻COPD恶化的负担,并通过优化出院和后续护理改善患者的结果.
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