为使用名义组技术进行选择性皮肤冠状动脉干预的患者开发同一天出院的临床途径
Yingyan Chen1, Jacqueline Peet2, Natalie Hausin3
1School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic, Australia; School of Health, University of the Sunshine Coast, Sippy Downs, Qld, Australia.
Heart, lung & circulation
|November 6, 2025
概括
经皮肤冠状动脉干预后同日出院的新临床途径与临床医生和患者一起开发. 这种基于证据的途径提高了心脏服务效率和患者满意度.
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:
- 穿皮冠状动脉干预 (PCI) 后的当日排泄 (SDD) 越来越受欢迎,但缺乏全球标准化.
- 现有的SDD共识指南往往不包括临床医生和患者的意见.
研究的目的:
- 开发一种基于证据的协作临床途径,用于选择性皮肤穿冠状动脉干预 (PCI) 后的当日出院 (SDD).
- 将临床医生,患者和护理人员的观点纳入SDD决策过程.
主要方法:
- 一项混合方法研究,利用AGREE II工具严格开发路径.
- 来自澳大利亚六家医院的15名参与者 (护士,医务人员,患者,护理人员) 的混合研讨会.
- 一种经过修改的七步名义小组技术和转录会话的演内容分析.
主要成果:
- 在PCI前的因素,PCI后的因素,排放前的清单项目和风险管理策略上达成共识.
- 同意最终的SDD决定由干预心脏病专家做.
- 开发的途径是以证据为基础的,并考虑患者和情境需求.
结论:
- 开发的临床途径提高了心脏服务提供效率.
- 该途径通过纳入消费者需求来提高患者满意度.
- 这种协作方法确保了以证据为基础的和与情境相关的SDD战略.
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