控制心房动的NuRse主导的家庭心脏操作-RACE 6
Geert Hengstman1, Salah A M Saïd2, Ramon de Nooijer2
1Ambulance Oost, Hengelo, The Netherlands. ghengstman@ambulanceoost.nl.
概括
针对心房动 (AF) 的家庭电动心脏转变 (ECV) 是可行的,并且受到患者的青. 这项试点研究表明,它有可能得到更广泛的应用,改善生活质量和医疗保健的可持续性.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 家庭医疗保健模式可以提高医疗保健的可持续性.
- 在家庭环境中进行电动心脏转换 (ECV) 的可行性仍然不确定.
研究的目的:
- 评估家庭电动心脏转移 (ECV) 治疗持续症状性心房动 (AF) 的可行性.
- 为了评估患者的偏好和家庭ECV与医院手术相比的安全性.
主要方法:
- 一项前性试点研究 (RACE-6) 涉及由护士领导的移动团队.
- 紧急护理从业者 (ECP) 进行的家庭评估确保了安全性和适用性.
- 远程心脏病学家监督和救护车待命提供了额外的安全措施.
主要成果:
- 六名患有持续性AF的患者在有意识的镇静下在家中接受了8次ECV手术.
- 在所有患者中,成功地恢复了鼻节律,没有并发症.
- 绝大多数患者更喜欢在家进行心脏转换,而不是在医院进行心脏转换.
结论:
- 家庭ECV是可行的,并得到了患者的好评,即使在某些情况下.
- 有潜力将家庭ECV扩展到更广泛的患者群体,改善生活质量.
- 需要进一步的随机试验来确认成本效益和对医疗保健可持续性的影响.
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