Crocker Cheryl
Nottingham City NHS Trust.
Br J Nurs. 2003;12(15):910-4. doi: 10.12968/bjon.2003.12.15.11420.
Follow-up clinics following discharge from intensive care are not a new phenomenon - Whiston Hospital in Liverpool has been running a clinic since 1990. Its pioneering work has set a precedent and has inspired Nottingham City Hospital to set up its own clinic. The Department of Health (2000) recommended that all NHS trusts 'review the provision of follow-up services and ensure there is appropriate provision for those patients who will benefit'. Nottingham City Hospital set up a multidisciplinary follow-up clinic without funding, with great success, over a year ago. This service has been extremely valuable to patients and their carers and has helped staff understand the needs of patients once they have left intensive care. This article will describe the clinic's work and case studies are utilized in order to illustrate key points.
重症监护病房出院后的随访门诊并非新现象——利物浦的惠斯顿医院自1990年起就开设了这样一个门诊。其开创性工作树立了先例,并激励诺丁汉市医院设立了自己的门诊。卫生部(2000年)建议所有国民保健服务信托机构“审查随访服务的提供情况,并确保为那些将从中受益的患者提供适当的服务”。诺丁汉市医院在没有资金的情况下,于一年多前成功设立了一个多学科随访门诊。这项服务对患者及其护理人员极为有价值,并帮助工作人员了解患者离开重症监护病房后的需求。本文将介绍该门诊的工作,并通过案例研究来说明要点。