在关节置换手术综合门诊护理计划的早期经验
Samuel B Morgan1, Matey Juric1, Ervis Musa1
1From the Division of Orthopaedic Surgery, The Ottawa Hospital, University of Ottawa, Ottawa, Ont.
Canadian journal of surgery. Journal canadien de chirurgie
|November 13, 2025
概括
综合门诊护理中心 (IACs) 提供安全有效的关节置换手术,改善访问,而不会对急诊室的访问或患者的结果产生负面影响. 这种模式增强了对关节,膝盖和肩部置换的护理.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 对关节置换的需求不断增加,需要创新的医疗保健模式.
- 综合门诊护理中心 (IAC) 正在成为公私合作伙伴关系,以解决积压问题.
- 评估IAC的安全性,有效性和可持续性对于医疗保健规划至关重要.
研究的目的:
- 评估IAC对关节,膝盖和肩部置换的安全性和有效性.
- 为了比较IAC和传统公共医院环境之间的患者结果.
- 确定IAC模型在改善获得护理方面的可持续性.
主要方法:
- 在IAC对600名关节塑形术患者的回顾性分析 (2023年2月 - 2024年3月).
- 与在合作医院接受门诊手术的患者进行了匹配的比较.
- 主要结局:在一周内意外遇到急诊室 (ED);次要结局:出院成功,重新手术率和患者报告的结局措施 (PROM).
主要成果:
- 在IAC和公共医院组之间,在7天的ED遭遇中没有显著差异 (3%与5%相比,p=0.2).
- 在IAC,重新手术率低 (患者2人,<1%) 和24小时住院率低 (患者2人,0.3%).
- 在IAC组中观察到牛津部得分,牛津膝盖得分和PROMIS身体得分的显著改善.
结论:
- IAC为关节置换手术提供了一种安全有效的模型.
- 该IAC模型成功地改善了患者获得护理的机会,而不会对ED访问或PROM产生不利影响.
- IACs代表了一种可行的解决方案,可以提高骨科手术能力和患者的治疗结果.
更多相关视频
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
3.5K
05:07Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
Published on: March 1, 2024
2.6K
相关概念视频
01:27Peripheral Artery Disease III: Interprofessional Care
231
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
231
01:20Integrated Healthcare System
2.3K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
2.3K
01:23Peripheral Artery Disease V: Postoperative Nursing Management
360
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
360
01:13Patient-centered Care
2.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.9K
01:10Ankle Joint
2.8K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
2.8K
01:28Chronic Kidney Disease III: Interprofessional Care
331
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
331