急诊科就诊后强化房颤护理：实施电话随访实践
Augmenting Atrial Fibrillation Care After an Emergency Department Visit: Implementing Telephone Practice.
作者信息
Hart Danielle, Hopman Wilma M, Hammond Sharlene, Redfearn Damian P
机构信息
Heart Rhythm Service, Queen's University, Kingston, Ontario, Canada (Mss Hart and Hammond and Dr Redfearn); and Kingston General Health Research Institute (KGHRI), Kingston Health Sciences Centre, Kingston, Ontario, Canada (Ms Hopman).
出版信息
J Nurs Care Qual. 2019 Oct/Dec;34(4):337-339. doi: 10.1097/NCQ.0000000000000381.
BACKGROUND
Between 2010 and 2012, the Heart Rhythm team in a tertiary care hospital completed a retrospective study that found that atrial fibrillation (AF) care can be episodic and heavily reliant on hospital resources, particularly the emergency department (ED).
PROBLEM
Patients who attend the ED with AF are at high risk of hospital admission.
APPROACH
A nurse practitioner (NP) was added to the Heart Rhythm team to create a program to improve AF care after an ED visit. Telephone practice was one of the many processes created.
OUTCOMES
Findings revealed that 37 of 90 patients presented to the ED with AF prior to telephone contact and 7 of 90 patients did so post-telephone contact (P < .001).
CONCLUSION
Telephone practice led by an NP provides an opportunity to improve assessment and management of patient with AF and offers a promising cost-effective method to reduce ED visits in the AF patient population.
背景
2010年至2012年期间，一家三级护理医院的心律团队完成了一项回顾性研究，发现房颤（AF）护理可能是间歇性的，并且严重依赖医院资源，尤其是急诊科（ED）。
问题
因房颤到急诊科就诊的患者住院风险很高。
方法
心律团队增加了一名执业护士（NP），以创建一个项目来改善急诊科就诊后房颤护理。电话随访是创建的众多流程之一。
结果
研究结果显示，90例患者中有37例在电话联系前因房颤到急诊科就诊，90例患者中有7例在电话联系后因房颤到急诊科就诊（P < .001）。
结论
由执业护士主导的电话随访为改善房颤患者的评估和管理提供了机会，并为减少房颤患者群体的急诊科就诊提供了一种有前景的具有成本效益的方法。
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