调查患者导航器对老年人从急性护理过渡的影响:一种随机对照试验,嵌入了定性组件
Natasha Hanson1, Tracy Freeze1, Leanne Skerry1
1Research Services, Horizon Health Network, Saint John, New Brunswick, Canada.
PloS one
|February 4, 2026
概括
患者导航员改善了骨折的老年人,特别是那些有更高需求的老年人的护理过渡. 它们有助于优化医疗保健资源的使用,并在整形老年人康复期间提供宝贵的支持.
科学领域:
- 老年医学 老年医学
- 整形外科 整形外科 整形外科
- 医疗保健管理的管理
背景情况:
- 与跌倒相关的骨折在老年人中越来越多,使医院出院和护理过渡复杂化.
- 整形老年护理途径在管理复杂的患者需求和医疗保健资源分配方面面临挑战.
研究的目的:
- 评估患者导航器对医疗保健利用,患者满意度和在正经老年环境中的经验的影响.
- 确定患者导航员在支持老年人骨折后出院方面的有效性.
主要方法:
- 混合方法设计,将随机对照试验与定性访谈相结合.
- 骨折的老年人 (≥65岁) 被随机分配到标准护理或患者导航干预.
- 结果包括计划外的医疗保健利用,患者满意度和患者/护理人员经验,评估在出院后长达三个月.
主要成果:
- 患者导航组显示,与标准护理相比,基于脆弱程度的非计划医疗保健利用率有所不同.
- 两组之间没有观察到患者满意度的显著差异.
- 定性分析显示了患者和护理人员的积极经验,突出了导航员在信息提供和支持方面的作用.
结论:
- 患者导航器在正经老年人康复中至关重要,增强适当的医疗保健资源利用率.
- 导航员为患者和护理人员提供了重要的支持,特别是那些需要更高的护理或有限的家庭支持的人.
- 这项研究强调了患者导航器在优化老年人骨折相关住院治疗后的结果方面的价值.
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