测量慢性肠衰竭的质量标准:一项国际试点调查
Maja Kopczynska1, Stéphane Schneider2, Marianna Arvanitaki3
1National Intestinal Failure Reference Centre, University of Manchester, Northern Care Alliance NHS Foundation Trust, Salford, M6 8HD, UK.
这项试点研究评估了使用护理质量标准的欧洲慢性肠衰竭 (CIF) 中心. 结果显示,这些标准是有用的,但在专业人员,心理支持和患者参与方面存在差距.
科学领域:
- 临床营养学 临床营养学
- 胃肠病学 胃肠病学
- 医疗保健的质量 医疗保健的质量
背景情况:
- 慢性肠衰竭 (CIF) 护理在不同国家和国家内有很大差异.
- 需要对CIF患者提供的护理质量进行标准化和评估.
研究的目的:
- 评估欧洲CIF中心对欧洲临床营养与代谢学会 (ESPEN) 认可的护理质量标准的实用性和履行.
- 识别当前CIF护理服务中的潜在缺口.
主要方法:
- 一项试点研究涉及五个欧洲国家的15个CIF中心.
- 主要临床医生完成了139项调查问卷,涵盖中心背景,结构,护理过程和结果监测.
- 根据规模分类中心:小型 (<30名患者),中型 (30-100名患者) 和大型 (>100名患者).
主要成果:
- 所有15个参与的CIF中心都实现了100%的响应率.
- 问卷被完全填写,提供了关于护理实践的丰富数据.
- 确定的差距包括专家临床医生的可用性,获得心理服务,专用病房区域,服务间网络,患者参与和CIF结果监测.
结论:
- 在研究的欧洲CIF中心中,ESPEN护理质量标准是有用的,并且在很大程度上得到了满足.
- 未来的研究应该扩大参与,并涉及标准的年度重新评估.
- 解决发现的差距可以进一步提高CIF患者护理质量.
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