Uppal S, Nadig S, Mielcarek M W, Smith L, Jose J, Coatesworth A P
Department of Otolaryngology, Head and Neck Surgery, York Hospital, York, UK.
Int J Clin Pract. 2003 Nov;57(9):835-9.
The need to bring down costs while maintaining a high standard of care has led to the expansion in the role of nurses in recent years. We present results of an audit of patient satisfaction with conventional and nurse-led telephone follow-up after nasal septal surgery. Our results indicate that patient satisfaction with nurse-led telephone follow-up is significantly higher than conventional follow-up (p=0.001, two-tailed). More patients in the conventional follow-up group felt that a follow-up appointment with an ENT doctor was essential compared with the patients in the nurse-led telephone follow-up group (p<0.001, two-tailed). We conclude that nurse-led telephone follow-up avoids unnecessary outpatient appointments, while identifying patients who require further care. It makes more appointment slots available for patients with pressing clinical problems and has the potential to reduce outpatient access times in the NHS.
近年来，在维持高标准护理的同时降低成本的需求促使护士的角色得到了扩展。我们呈现了一项关于鼻中隔手术后患者对传统随访和护士主导的电话随访满意度的审计结果。我们的结果表明，患者对护士主导的电话随访的满意度显著高于传统随访（p = 0.001，双侧）。与护士主导的电话随访组的患者相比，传统随访组中更多的患者认为与耳鼻喉科医生进行随访预约至关重要（p < 0.001，双侧）。我们得出结论，护士主导的电话随访避免了不必要的门诊预约，同时识别出需要进一步护理的患者。它为有紧迫临床问题的患者提供了更多的预约时段，并有可能缩短英国国家医疗服务体系（NHS）中的门诊就诊时间。
