针对慢性阻塞性肺疾病急性加重患者在就诊和出院时进行干预以减少不必要的入院和再入院：一项范围综述方案。
Interventions at presentation and discharge for patients with acute exacerbation of chronic obstructive pulmonary disease to reduce unnecessary admissions and readmissions: A scoping review protocol.
作者信息
MacDonell Rachel, Woods Orla, Prihodova Lucia
机构信息
Royal College of Physicians of Ireland Dublin Ireland.
出版信息
Nurs Open. 2019 Dec 3;7(2):669-673. doi: 10.1002/nop2.423. eCollection 2020 Mar.
AIM
This scoping review will gather existing evidence on specific interventions at presentation and discharge which aim to standardize care and/or reduce unnecessary admissions and/or readmissions to hospital for patients presenting with acute exacerbation of chronic obstructive pulmonary (airways) disease.
DESIGN
Scoping review of relevant literature from January 2000-March 2019.
METHODS
Database searches for primary evidence in peer-reviewed journals will be conducted electronically using Web of Science, EMBASE (Elsevier) and PUBMED. Eligibility criteria will include hospital-based interventions for presentations of acute exacerbation of chronic obstructive pulmonary disease with outcomes specific to standardizing care or reducing unnecessary admissions or readmissions. Abstract, full-text screening and data extraction will be completed independently by a panel of expert reviewers.
RESULTS
We aim to identify current interventions and improvement approaches in acute exacerbation of chronic obstructive pulmonary (airways) disease care that have an impact on admission and discharge processes or readmissions. Recommendations as a result of this review will aid the design and development of future improvement intervention.
目的
本范围综述将收集关于就诊时和出院时特定干预措施的现有证据，这些干预措施旨在规范护理和/或减少慢性阻塞性肺（气道）疾病急性加重患者不必要的入院和/或再入院情况。
设计
对2000年1月至2019年3月的相关文献进行范围综述。
方法
将使用科学网、EMBASE（爱思唯尔）和PubMed通过电子方式在同行评审期刊中检索主要证据。纳入标准将包括针对慢性阻塞性肺疾病急性加重就诊的基于医院的干预措施，其结果特定于规范护理或减少不必要的入院或再入院情况。摘要、全文筛选和数据提取将由一组专家评审员独立完成。
结果
我们旨在确定慢性阻塞性肺（气道）疾病急性加重护理中对入院、出院流程或再入院有影响的当前干预措施和改进方法。本次综述的建议将有助于未来改进干预措施的设计和开发。
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