一个息护理快速访问诊所减少了急诊室的访问:一个回顾性单中心分析
Wendy Kinton1,2, Timothy Roberts3, Maureen Mitchell3
1University of the Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, QLD, 4556, Australia. wendy.kinton@health.qld.gov.au.
BMC palliative care
|July 8, 2025
概括
一个新的息护理快速访问诊所可能会防止急诊室访问急性症状患者. 这项服务显示了改善终身护理和减少急诊室负担的潜力.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
- 紧急医疗 紧急医疗
背景情况:
- 息治疗患者经常使用急诊室,因为门诊患者的访问有限.
- 紧急诊所可能没有足够的设备来满足复杂的息护理需求.
- 快速获取诊所,常见的其他条件,不是标准的息治疗.
研究的目的:
- 评估新成立的缓和护理快速访问诊所对临床结果的影响.
- 评估诊所在治疗息治疗患者急性症状方面的有效性.
- 了解诊所作为急诊部护理的替代品的作用.
主要方法:
- 从2020年1月到2022年12月对283名患者记录 (172名患者) 的回顾性观察分析.
- 收集的人口统计,诊断,入院原因和死亡率数据.
- 使用奇平方和费舍尔的精确测试来分析死亡率和急诊室避开的关联.
主要成果:
- 11.7%的入院被认为可能避免了急诊室的访问.
- 避免紧急诊所的访问与30天死亡率 (22.9%) 和紧急诊所入院 (31.5%) 相关.
- 30天死亡率为24.6%,与男性性别和急诊病例有显著的关联.
结论:
- 息护理快速获取诊所有效地治疗急性症状,为急诊室提供了替代方案.
- 该诊所显示出优化终身护理的潜力.
- 需要进一步的前性研究来确认有效性并优化患者的治疗结果.
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