通过远程医疗门诊过渡性护理模型解决安全性,质量和护理成本:实用随机对照试验协议
Kate Davis1, Sepehr Shakib2,3, Greg Sharplin1
1Rosemary Bryant AO Research Centre, Clinical and Health Sciences, University of South Australia, Adelaide, Australia.
这项研究测试了由护士领导的远程医疗过渡期护理 (TCM) 模型,以减少多病症患者的再入院. 适应的TCM旨在改善护理转变和患者的结果.
科学领域:
- 医疗服务研究
- 护理工作
- 老年学
背景情况:
- 多病症带来复杂的医疗需求,导致高服务利用率和再接收率.
- 有效的过渡性护理模式 (TCM) 对于防止再入院至关重要.
- 目前的多病患者再入院风险管理系统存在差距.
研究的目的:
- 评估由护士主导的基于远程医疗的适应性TCM对多病患者的3个月再入院率的影响.
- 评估复发率,住院时间,成本效益,患者经验和症状负担.
- 评估干预后生活质量,自我有效性和症状管理的变化.
主要方法:
- 一个多中心的实用随机对照试验,涉及多病症患者.
- 采用混合方法方法,收集定量和定性数据.
- 干预:护士领导的过渡评估,护理计划和远程医疗协调6-10周.
主要成果:
- 获得了伦理审批 (17554) 并注册了试验 (ANZCTR ACTRN12624000142538).
- 研究于2023年7月开始;数据收集于2024年2月至2025年3月.
- 预计最终结果将于2026年3月公布.
结论:
- 适应的远程医疗医疗可以加强医院和初级医疗之间的连续性.
- 这种模式旨在减少不必要的再入院和改善患者的转变.
- 可行性研究表明过渡协调员在支持放弃后恢复的有效性.
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