引入护士顾问对患者健康和服务结果的影响：一项历史匹配对照研究。
The impact on patient health and service outcomes of introducing nurse consultants: a historically matched controlled study.
机构信息
The Nethersole School of Nursing, 7/F, Esther Lee Building, The Chinese University of Hong Kong, Shatin, Hong Kong, SAR, China.
出版信息
BMC Health Serv Res. 2013 Oct 23;13:431. doi: 10.1186/1472-6963-13-431.
BACKGROUND
The position of nurse consultant (NC) was introduced in Hong Kong by the Hospital Authority in January 2009. Seven NCs were appointed in five clinical specialties: diabetes, renal, wound and stoma care, psychiatrics, and continence. This was a pilot to explore the impact of the introduction of NCs on patient health and service outcomes.
METHODS
The present paper describes a historically matched controlled study. A total of 280 patients, 140 in each cohort under NC or non-NC care, participated in the study. The patient health and service outcomes of both cohorts were evaluated and compared: accident and emergency visits, hospital admissions, length of hospital stays, number of acute complications, number of times of treatment or regimen altered by nurses according to patient's condition, glycated haemoglobin A1c (HbA1c) levels, urea and urea-to-creatinine ratios, and number of wound dressings for patients in corresponding specialty units. A patient satisfaction instrument was also used to assess the NC cohort.
RESULTS
The study showed that patients under NC care had favourable patient health and service outcomes compared with those under non-NC care. The NC cohort also reported a high level of patient satisfaction.
CONCLUSIONS
The study demonstrates that the introduction of NCs in specialty units may have a positive impact on patients' health and service outcomes. The high level of patient satisfaction scores indicates that patients appreciate the care they are receiving with the introduction of NCs.
背景
2009 年 1 月，香港医院管理局引入了顾问护师（NC）的职位。在五个临床专科中，共任命了 7 名 NC，分别为糖尿病、肾脏、伤口和造口护理、精神科和尿失禁。这是一项探索引入 NC 对患者健康和服务结果影响的试点研究。
方法
本研究采用了历史性匹配对照研究。共有 280 名患者参与了研究，NC 护理组和非 NC 护理组各 140 名。评估和比较了两组患者的健康和服务结果：急诊就诊、住院、住院时间、急性并发症次数、根据患者病情改变治疗或方案的护士次数、糖化血红蛋白（HbA1c）水平、尿素和尿素肌酐比值、以及相应专科单位的伤口敷料数量。还使用了一份患者满意度工具来评估 NC 组。
结果
研究表明，NC 护理组的患者健康和服务结果优于非 NC 护理组。NC 组的患者满意度也很高。
结论
研究表明，在专科单位引入 NC 可能对患者的健康和服务结果产生积极影响。患者满意度评分较高表明，患者对引入 NC 后所接受的护理表示赞赏。
Zotero 插件