一个先进的临床实践护士领导的出院管理和教育计划对急性医疗护理单位 (ADIEU) 患者结果的影响
Seungjin Lee1,2, Ji Eun Song1, Seunghyun Won3
1Hospital Medicine Center, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Journal of nursing management
|November 25, 2025
概括
先进的临床实践护士领导的出院管理和教育 (ADIEU) 计划减少了急性医疗护理单位患者的30天住院再诊. 该计划还提高了医疗保健提供者对出院流程的满意度.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 患者的治疗结果.
背景情况:
- 急性医疗护理单位 (AMU) 面临患者出院的挑战,原因是急性护理需求和急性护理需求的高流量.
- 先进的临床实践护士领导的出院管理和教育 (ADIEU) 计划是为了解决这些复杂问题而开发的.
研究的目的:
- 评估ADIEU计划对AMU患者临床结果和满意度的有效性.
- 评估护士主导的出院干预措施对患者再入院和紧急访问的影响.
主要方法:
- 对360名来自韩国共和国第三级医院AMU的患者进行了回顾性研究.
- 倾向性得分匹配 (PSM) 用于比较ADIEU实施前后的患者 (每组139).
- 评估了30天的再入院,72小时的急诊室 (ED) 访问,以及患者和医疗保健提供者的满意度.
主要成果:
- ADIEU计划显著减少了30天的再接收 (OR = 0.333).
- 没有观察到意想不到的72小时ED访问的显著减少.
- 医疗保健提供者的满意度显著提高,护士的分数从3.09上升到3.43,医生的分数从3.67上升到4.67.
结论:
- ADIEU计划有效降低了AMU的30天再接收率.
- 该干预措施提高了医疗保健提供者和患者对出院管理的满意度.
- 尽管对短期ED访问的影响有限,但ADIEU显示出改善AMU放电流程的希望.
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