综合过渡性护理计划对多病症老年患者和重复访问急诊室的综合过渡性护理计划的影响
Antonio San-José1, María José Abadías2, Emmanuel Giménez3
1Department of Geriatrics, Vall d'Hebron University Hospital, Barcelona, Spain.
概括
一个综合的过渡期护理计划显著减少了急诊室的重访,在多病症的老年人中,急诊室的重访减少了33%. 大多数患者维持或改善了他们的生活质量,证明了该计划的有效性.
科学领域:
- 老年医学 老年医学
- 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:
- 在老年人群中,多病症的流行率越来越高,导致脆弱性和急诊室 (ED) 访问量增加.
- 过渡期护理计划对于管理老年人复杂的健康需求至关重要.
- 评估综合护理对医疗保健利用和患者结果的影响至关重要.
研究的目的:
- 评估综合过渡期护理计划的有效性.
- 评估该计划对减少多病症老年患者ED复诊的影响.
- 确定对目标人群健康相关生活质量 (HRQoL) 的影响.
主要方法:
- 预期干预前后研究设计.
- 纳入标准:年长的成年人与多病症和6个月内≥2次ED访问心力衰竭 (HF) 或慢性阻塞性肺病 (COPD) 恶化.
- 干预涉及自动化列表,患者分配协议,以及在综合护理环境中专门的病例管理护士.
主要成果:
- 在干预后观察到ED访问的33%显著减少.
- 与男性和COPD患者相比,女性 (39.6%) 和HF患者 (38.7%) 发现ED访问的减少较大.
- 68.2%的参与者报告说,HRQoL保持或改善.
结论:
- 综合过渡期护理,结合自动化系统,共识协议和专业护理,有效地减少ED复诊.
- 该干预措施在多病症的老年人中显示出积极的结果,改善或维持HRQoL.
- 这种护理模式在管理复杂的慢性疾病和减少医疗保健系统负担方面是有效的.
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