Faculty of Nursing, University of Manitoba, Winnipeg, MB, Canada.
J Adv Nurs. 2013 Sep;69(9):2076-87. doi: 10.1111/jan.12075. Epub 2013 Jan 14.
To describe and compare the outcomes of a nurse practitioner-managed cardiac surgery follow-up model of care with the standard model of primary care provider follow-up for coronary artery bypass graft surgery patients.
Advances in healthcare have had a favourable impact on length of stay following cardiac surgery; however, the shorter length of stay has not been accompanied by enhanced support to bridge the gap between acute care and the community setting.
Prospective (2009-2010) randomized study.
Elective cardiac surgery patients (N = 200) were randomly assigned to the nurse practitioner follow-up intervention or to the standard model of follow-up care. The main outcomes were health-related quality of life, patient satisfaction, symptoms, and health resource use. Outcome data were elicited via telephone interviews at 2 and 6 weeks postdischarge.
Baseline differences between the two groups were non-significant; however, at 2 weeks postdischarge, the intervention group reported significantly fewer symptoms and higher physical functioning status. At 2 and 6 weeks postdischarge, the intervention group was significantly more satisfied with the amount of help, as well as the quality of the services received. Differences in healthcare resource use were not statistically significant.
This evidence suggests that the nurse practitioner-managed model of follow-up care effectively bridges the gap between institutional and primary care in the cardiac surgery population.
描述并比较心脏外科术后护理中护士从业者管理的随访模式与冠状动脉旁路移植术患者初级保健提供者标准随访模式的结果。
医疗保健的进步对心脏手术后的住院时间产生了有利影响；然而，较短的住院时间并没有伴随着增强支持，以弥合急性护理和社区环境之间的差距。
前瞻性（2009-2010 年）随机研究。
择期心脏手术患者（N=200）被随机分配到护士从业者随访干预组或标准随访护理组。主要结局是健康相关生活质量、患者满意度、症状和卫生资源利用。通过出院后 2 周和 6 周的电话访谈获得结局数据。
两组间的基线差异无统计学意义；然而，在出院后 2 周时，干预组报告的症状明显较少，身体功能状态明显更高。在出院后 2 周和 6 周时，干预组对所获得的帮助量和服务质量的满意度显著更高。医疗资源使用的差异无统计学意义。
这一证据表明，护士从业者管理的随访护理模式在心脏外科患者中有效地弥合了机构和初级保健之间的差距。
