心力衰竭诊所环境中电话护理干预的性质。
The nature of telephone nursing interventions in a heart failure clinic setting.
作者信息
Staples Patti, Earle Wendy
机构信息
CHF Clinic, Hotel Dieu Hospital, 166 Brock Street, Kingston, ON K7L 5G2.
出版信息
Can J Cardiovasc Nurs. 2008;18(4):27-33.
BACKGROUND
There is a lack of published data about the nature of nursing interventions that are required to provide telephone management for patients with heart failure (HF).
PURPOSE
The nature of patient issues, telephone nursing interventions, and associated workload at one HF clinic are described in this study.
METHODS
Workload was captured using a computerized workload measurement tool. An electronic telephone log categorizing nursing interventions as providing education, changing medication doses, ordering diagnostic tests and consulting with community health care providers, and the scope of practice required to complete the intervention was kept.
RESULTS
Nurses spent 24% of their working hours doing 1914 telephone visits in one year. Medications were changed 583 times and diagnostic tests were ordered 207 times. Nurses initiated 65% of calls; others were received from patients, family members, and other health care providers.
CONCLUSION
A combination of nurse practitioners and registered nurses with medical directives can address the issues that commonly arise through telephone management of HF patients.
背景
目前缺乏关于为心力衰竭（HF）患者提供电话管理所需护理干预性质的已发表数据。
目的
本研究描述了一家HF诊所患者问题的性质、电话护理干预及相关工作量。
方法
使用计算机化工作量测量工具记录工作量。保留一份电子电话日志，将护理干预分类为提供教育、更改药物剂量、安排诊断检查以及与社区医疗服务提供者协商，并记录完成干预所需的执业范围。
结果
护士一年中花费24%的工作时间进行1914次电话随访。药物更改583次，安排诊断检查207次。护士发起了65%的电话；其他电话来自患者、家庭成员和其他医疗服务提供者。
结论
执业护士和有医疗指令的注册护士相结合可以解决HF患者电话管理中常见的问题。
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