关闭手部创伤的先进临床实践:手部治疗师领导的骨折诊所的共同开发
Katia Fournier1, Lisa Newington2, Lily Li3
1Hand Therapy, Imperial College Healthcare NHS Trust, London, UK.
概括
手部治疗师可以安全地领导封闭的手部创伤诊所,改善患者的结果和满意度. 这一创新途径为手部创伤管理的先进临床实践提供了一个可扩展的模型.
科学领域:
- 整形外科 整形外科 整形外科
- 手术手术手术手术手术
- 物理疗法物理治疗
背景情况:
- 关闭手部创伤管理是资源密集的.
- 医疗紧缩政策推动了英国手部创伤护理方面的创新.
- 高级实践手部治疗师越来越多地参与骨折诊所.
研究的目的:
- 报告一家由手部治疗师领导的封闭手部创伤诊所的共同开发.
- 促进手部创伤护理的国际实践发展.
主要方法:
- 新型护理途径的服务评估:关闭和复杂的伤害 (EPIC) 的增强途径.
- 共同开发涉及患者重点小组.
- 量化和定性方法评估了途径的有效性和患者体验.
主要成果:
- 患者优先考虑早期干预,专家意见和共享决策.
- 75%的患者被转介给手术治疗,4%的患者接受手术,22%的患者退院.
- 报告的患者满意度高;运动范围优秀/良好 (79%) 和疼痛最小 (81%).
结论:
- 手部治疗师可以安全有效地领导封闭的手部创伤诊所.
- 该EPIC途径为其他医疗保健机构提供了成功的模式.
- 这种方法提高了关闭手部受伤的护理服务.
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