医疗复杂性儿童护理的协作模型:一个随机临床试验
Savithri Nageswaran1, Douglas Easterling2, Jamie E Skaar1
1Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
ICollab 护理模式并没有减少医院住院或急诊室对有医疗复杂性的儿童的访问. 然而,它确实减少了护理人员协调护理的时间,这表明对家庭负担的潜在好处.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 护理协调 护理协调
- 复杂的护理管理.
背景情况:
- 家庭医疗 (HH) 护理医疗复杂性儿童 (CMC) 需要有效的合作.
- ICollab模型是为了加强医院临床医生,卫生保健护士和初级保健提供者之间的合作而开发的.
- 评估ICollab对住院,急诊室 (ED) 访问和护理人员负担的影响至关重要.
研究的目的:
- 评估ICollab护理模型在改善CMC治疗结果方面的有效性.
- 为了确定ICollab是否可以减少住院,急救诊所和护理人员负担.
- 评估ICollab对医疗保健提供者合作的影响.
主要方法:
- 一项随机对照试验涉及96名CMC患者,这些患者在HH护理后出院.
- 患者被随机分配到ICollab干预组或常规护理控制组6个月.
- 主要结果包括住院和ED访问率;次要结果包括护理人员负担和协作指标.
主要成果:
- 在ICollab和对照组之间,住院患者的比例没有显著差异.
- 对于住院患者,ICollab组的住院率较低,住院日数较少.
- 在ICollab组中,护理人员协调护理的时间显著减少,但其他二次和中间结果没有差异.
结论:
- 该ICollab模型没有满足其主要假设,即减少整体住院或急救诊所的访问.
- ICollab证明了减少护理人员用于护理协调的时间的好处.
- 需要对更大规模的研究进行进一步的研究,以充分确定ICollab模型的有效性.
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