描述了成年人下肢创伤患者的护理经验
Terrence C Tsou1, Natasha S McKibben2, Chao Long Azad1
1Department of Plastic and Reconstructive Surgery, Johns Hopkins University, Baltimore, MD, United States.
概括
患有下肢创伤的患者对外科医生感到满意,但希望获得更好的决策和信息. 根据人口统计学因素,患者对手术护理的满意度有很大差异,突出了患者报告的经验需要改进的领域.
科学领域:
- 整形外科手术 整形外科手术
- 患者报告的结果衡量结果.
- 医疗服务研究 医疗服务研究
背景情况:
- 患者在手术护理中的经验对于医疗保健的提供至关重要.
- 在创伤性下肢损伤后,描述护理经验至关重要.
- 对于这一群体,需要验证患者报告的经验指标.
研究的目的:
- 描述受伤下肢损伤后的患者体验.
- 通过验证的措施来评估对决策,信息和医疗保健专业人员的满意度.
- 在这个队列中确定患者满意度的预测因素.
主要方法:
- 645名患有下肢创伤的患者的横截面研究.
- 使用LIMB-Q对决策,信息和医疗保健专业人员满意度等级 (0-100).
- 多变量线性回归分析了人口统计,临床和患者报告的结果数据,以找到满意度的预测指标.
主要成果:
- 外科医生满意度高 (平均=91),但对决策 (平均=74) 和信息 (平均=70) 的满意度较低.
- 年龄较大,教育程度较低,跨性别/非二元身份以及亚洲/太平洋岛民种族与较低的满意度有关.
- 在受伤后的每十年,决策满意度都会下降;教育对信息满意度的影响是相反的.
结论:
- 患有下肢创伤的患者对外科医生的满意度很高,但对治疗决策和信息的满意度较低.
- 患者对手术护理的满意度受到人口统计学因素的影响.
- 有针对性的干预措施可以改善决策和信息传递,以改善患者体验.
更多相关视频
相关概念视频
01:23Peripheral Artery Disease V: Postoperative Nursing Management
28
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
28
01:30Venous Thrombosis IV: Nursing Management
27
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
27
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
40
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
40
01:27Peripheral Artery Disease III: Interprofessional Care
35
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
35
01:26Peripheral Artery Disease IV: Nursing Management
48
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
48
01:26Traditional Level Of Health Care System
2.9K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.9K