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颅脑损伤的临床路径:早期康复改善护理质量。

Clinical pathways in head injury: improving the quality of care with early rehabilitation.

机构信息

Sheffield Teaching Hospitals, Osborn Unit, Northern General Hospital, Sheffield, UK.

出版信息

Disabil Rehabil. 2012;34(5):439-42. doi: 10.3109/09638288.2011.608146. Epub 2011 Oct 10.

DOI:10.3109/09638288.2011.608146
PMID:21985127
Abstract

PURPOSE

To improve the management of all hospital admissions with head injuries, including mild and moderate by developing a clinical pathway and a head injury team.

METHODS

A head injury team was set up to take over the care of all admissions with head injury and to manage appropriate referrals and discharges. A key role was to facilitate communication between the different services involved in head injury care, arrange follow-up, support relatives and to educate healthcare staff.

RESULTS

In the first year, the team took over the care of 196 admissions of whom 128 attended for 3-month follow-up with 66% having a good outcome. Patients and relatives feedback was excellent with an average score of 4.8/5 on overall satisfaction rating. Other centers in the United Kingdom are aiming to set up similar pathways, and the team has presented on head injury pathways extensively.

CONCLUSIONS

A clinical pathway can improve the quality of care for all admissions with head injury and enhance the role for rehabilitation at an early stage.

摘要

目的

通过制定临床路径和颅脑损伤团队,改善所有颅脑损伤住院患者(包括轻度和中度颅脑损伤患者)的管理。

方法

成立颅脑损伤团队,负责接收所有颅脑损伤患者,并管理适当的转诊和出院。其主要作用是促进颅脑损伤护理相关服务之间的沟通,安排随访,为患者家属提供支持,并对医护人员进行教育。

结果

在第一年,该团队负责了 196 例住院患者的治疗,其中 128 例进行了 3 个月的随访,66%的患者预后良好。患者及其家属的反馈非常好,整体满意度平均评分为 4.8/5。英国的其他中心也在努力建立类似的路径,该团队也广泛介绍了颅脑损伤路径。

结论

临床路径可以提高所有颅脑损伤住院患者的护理质量,并在早期加强康复作用。

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