在儿科心力衰竭/心肌病治疗计划中,护士协调员的作用和增加护理的连续性
Debora Burger1, Patrick D Evers2
1Oregon Health & Science University, School of Nursing, Portland, OR, USA.
Journal of pediatric nursing
|May 1, 2025
概括
实施儿科心力衰竭/心肌病 (HF/CM) 护士协调员显著改善了护理连续性 (COC) 并减少了儿科HF/CM患者的急诊室访问/住院.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 心脏衰竭管理的管理
- 医疗保健协调部门 医疗保健协调部门
背景情况:
- 患有心力衰竭/心肌病 (HF/CM) 的儿科患者需要持续的专业护理.
- 这些患者面临着急诊室访问和住院的高风险.
- 持续护理 (COC) 对于管理儿科HF/CM至关重要.
研究的目的:
- 评估专门的HF/CM护士协调员对护理连续性的影响.
- 评估护士协调员角色实施后,急诊室访问和住院的变化.
- 为了比较HF/CM护士协调员引入之前和之后的COC和相关结果.
主要方法:
- 一个回顾性分析,比较新的HF/CM计划中的COC与以前的护理模式.
- COC被定义为在预定的随访后三个月内访问心脏病诊所.
- 在两个护理模型之间,与HF/CM相关的急诊室访问和住院病例进行了比较.
主要成果:
- 该研究包括98名儿科HF/CM患者;38人先前在该机构接受过护理.
- 新计划中的患者表现出明显更高的COC (p=0.046).
- 高频/CM程序导致急诊室访问/住院次数显著减少 (p=0.001),效果大小中等.
结论:
- 儿科HF/CM护士协调员的引入导致了护理连续性的显著改善.
- 儿童HF/CM患者的急诊室访问和住院次数显著减少.
- 一个专注的护士协调员角色积极影响儿科心力衰竭管理的临床结果.
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