对护士执业人员领导的肝病患者退院后过渡期护理计划的评估:一项回顾性队列研究
Marjan Naghshbandi1, Simon Y Huang1, Hemant Shah2
1Department of Mechanical and Industrial Engineering and Centre for Healthcare Engineering, University of Toronto, Toronto, Ontario, Canada.
Canadian liver journal
|July 18, 2025
概括
一个由护士执业人员领导的过渡期护理计划显著减少了肝病患者的意外再入院. 这种干预措施有望改善患者的治疗结果,并减少医院资源利用率.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 医疗保健管理的管理
- 护理研究 护理研究
背景情况:
- 肝病患者面临高率的非计划性医院再入院.
- 过渡期护理计划旨在通过协调的出院后支持来减轻再接收风险.
- 评估护士执业人员主导干预措施的有效性对于优化护理途径至关重要.
研究的目的:
- 评估门诊,护士执业人员领导的过渡期护理计划的有效性.
- 确定该计划对降低肝病患者非计划性再入院率的影响.
主要方法:
- 在一个学术卫生系统中,对803例肝病入院的回顾性队列研究.
- 使用具有竞争风险的比例危险模型分析30日,60日和90天的再接收情况.
- 进行了敏感性分析,包括倾向性得分调整,以验证发现.
主要成果:
- 过渡期护理与30天 (HR 0.51),60天 (HR 0.60) 和90天 (HR 0.55) 的再入院风险显著降低有关.
- 这些减少在敏感性分析中仍然具有统计学意义,除了少数例外.
- 该干预措施对减少患者再入院产生了持续的积极影响.
结论:
- 护士执业人员领导的过渡期护理计划可以有效降低肝病患者的再接收风险.
- 建议进行进一步的研究,以标准化推流程,并评估该计划的长期有效性和经济价值.
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