翻译家居呼吸困难服务:对可行性,个人报告和医院使用结果的试点研究
Kylie N Johnston1, Mary Young2, Debra Kay3
1Implementation and Clinical Translation in Health (IIMPACT), Allied Health and Human Performance, University of South Australia, Adelaide 5000, Australia.
针对慢性阻塞性肺病 (COPD) 患者的家庭呼吸困难干预服务 (BLIS) 是可行的和有效的. BLIS计划改善了患者的治疗结果,减少了住院病例,支持了其更广泛的实施.
科学领域:
- 肺部医学 肺部医学
- 医疗保健服务研究 医疗服务研究
- 翻译科学 翻译科学
背景情况:
- 持续的喘息严重影响了晚期慢性阻塞性肺病 (COPD) 患者及其照顾者.
- 在COPD中管理呼吸困难的可访问支持服务是有限的.
- 需要进行翻译试点研究来评估一种新的家庭干预措施.
研究的目的:
- 评估在高级慢性肺炎患者的家庭呼吸困难干预服务 (BLIS) 的可行性.
- 评估BLIS对患者和护理人员报告的结果的影响.
- 根据BLIS计划,检查医院利用率的变化.
主要方法:
- 一项前后试点研究,涉及患有稳定性COPD和持续性呼吸困难的患者.
- 该BLIS计划包括护士/理疗师在7周内进行家庭访问和电话联系.
- 测量结果包括呼吸不适,疾病感知,护理者负担和与COPD相关的住院病例.
主要成果:
- BLIS 计划表现出高可行性,接受率95%,高吸收率和保留率.
- 干预后观察到呼吸不适,喘息威胁和照顾者负担的显著减少.
- 在BLIS计划实施后的12个月内,COPD相关住院病例的减少.
结论:
- 家庭BLIS计划是高级COPD患者的可行和有效的干预措施.
- BLIS导致患者报告结果的显著改善,并降低了护理人员的负担.
- 对住院患者的积极影响支持BLIS在临床实践中的实施.
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