在外围动脉疾病中由护士领导的过渡期护理计划:对患者结果的范围审查
Mozzarelli Fabio1,2, Guasconi Massimo3,4, Parozzi Mauro5
1University of Parma, Parma, Italy.
Journal of research in nursing : JRN
|November 28, 2025
概括
护士领导的过渡期护理计划 (TCP) 改善了生活质量,并减少了患有外围动脉疾病 (PAD) 的患者的住院再诊. 这些计划有效地支持下肢血管手术后的患者.
科学领域:
- 血管外科 血管外科
- 医疗保健管理的管理
- 护理研究 护理研究
背景情况:
- 周围动脉疾病 (PAD) 影响全球人口的3-10%.
- 过渡期护理计划 (TCP) 桥梁医院和初级保健.
- 护士在管理患者的转变过程中至关重要.
研究的目的:
- 对下肢血管外科手术患者的护士领导的TCP进行审查.
- 评估TCP的有效性,包括远程医疗服务的提供.
- 评估对患者管理和结果的影响.
主要方法:
- 根据乔安娜·布里格斯研究所的方法,进行范围审查.
- 包括住院接受下肢主要血管手术的成年人.
- 搜索了主要的数据库 (PubMed,CINAHL等) 在2000年至2024年期间.
主要成果:
- 6项研究符合被选的888篇论文的纳入标准.
- 护士领导的TCP与减少住院再接收有关.
- 观察到患者报告的生活质量 (QoL) 的改善.
结论:
- TCPs提高了患者的质量和降低了医院再入院.
- 关键组成部分包括教育,远程护理和多专业方法.
- 过渡护士是成功实施TCP的核心.
相关概念视频
Restorative Care
2.3K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.3K
Peripheral Artery Disease I: Introduction
290
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
290
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
326
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
326
Peripheral Artery Disease III: Interprofessional Care
226
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...
226
Peripheral Artery Disease IV: Nursing Management
321
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
321
Peripheral Artery Disease V: Postoperative Nursing Management
354
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...
354
