转型护理指数:为患有炎症性肠病的年轻成年人提供全面转型和转移的标准化
Hilary K Michel1,2, Jennifer L Dotson1,2,3,4, Jennie G David1,5
1Department of Pediatrics The Ohio State University College of Medicine Columbus Ohio USA.
实施IBD过渡护理指数改善了在过渡到成人护理期间为患有炎症性肠病 (IBD) 的年轻成年人提供护理标准化. 这项质量改善计划增加了关键护理变量和多学科访问的完成.
科学领域:
- 提高医疗保健的质量 改善医疗保健的质量
- 儿童到成人护理的转变.
- 炎症性肠道疾病管理管理
背景情况:
- 患有炎症性肠病 (IBD) 的年轻人在从儿科到成人护理的过渡期间面临高风险.
- 标准化护理和改善准备对于在这个弱势群体中获得更好的结果至关重要.
研究的目的:
- 实施质量改进 (QI) 方法,在向成人服务过渡期间,为患有IBD的年轻人提供标准的护理.
- 为了减少护理变化,并提高年轻成年人从儿科转向成人IBD护理的准备.
主要方法:
- 开发IBD过渡护理指数 (TCI),这是评估全面过渡准备的10个变量指标.
- 对患者,护理人员和提供者就TCI完成及其重要性进行教育.
- 系统记录和定期审查TCI可变完成率.
主要成果:
- 干预后完成的TCI变量的平均百分比从62%增加到71%.
- 观察到每年多学科IBD诊所出席人数显著增加 (51%与62%相比).
- 接受一般胃肠病学医生的患者在TCI完成和年度访问出席率方面表现出显著的改善.
结论:
- 像TCI这样的护理指数可以有效地减少变异性,并标准化IBD年轻成年人的复杂过渡过程.
- 通过诸如TCI之类的工具来标准化护理,最终旨在改善IBD过渡期患者的治疗结果.
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