由护士主导的电话姑息治疗项目的开发与方案
Development and protocol for a nurse-led telephonic palliative care program.
作者信息
Tan Audrey J, Yamarik Rebecca, Brody Abraham A, Chung Frank R, Grudzen Corita
机构信息
Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, New York, NY; Division of Geriatric Medicine and Palliative Care, NYU Grossman School of Medicine, New York, NY.
Department of Medicine, Tibor Rubin Long Beach Veteran Affairs, Long Beach, CA.
出版信息
Nurs Outlook. 2021 Jul-Aug;69(4):626-631. doi: 10.1016/j.outlook.2020.12.011. Epub 2021 Jan 21.
BACKGROUND
The COVID-19 pandemic has resulted in a profound transformation of health care delivery toward telemedicine models.
PURPOSE
We present the structure of a nurse-led telephonic palliative program and operational metrics to influence further development of tele-palliative programs.
METHODS
The nurses engage with seriously ill patients for 6 months with the goal of discussing advance care planning (ACP) and addressing self-identified issues related to their illness.
FINDINGS
Of the first 100 program graduates, 78% were actively engaged and 51% named a health care agent and/or engaged in ACP. Of the 18 patients who died during the study, 13 (72%) were enrolled in hospice services.
DISCUSSION
Our preliminary results indicate that seriously ill patients are willing to engage with nurses and to participate with discussions on ACP.
CONCLUSION
Given the gaps in health care exposed by the COVID-19 pandemic, this innovative program serves as an important model for bringing palliative care directly to patients.
背景
新冠疫情已使医疗服务模式向远程医疗模式发生了深刻转变。
目的
我们介绍了一项由护士主导的电话姑息治疗项目的结构以及操作指标，以推动远程姑息治疗项目的进一步发展。
方法
护士与重症患者接触6个月，目的是讨论预先医疗护理计划（ACP）并解决患者自行提出的与疾病相关的问题。
结果
在前100名项目结业者中，78%积极参与，51%指定了医疗代理人和/或参与了预先医疗护理计划。在研究期间死亡的18名患者中，13名（72%）登记接受了临终关怀服务。
讨论
我们的初步结果表明，重症患者愿意与护士接触并参与关于预先医疗护理计划的讨论。
结论
鉴于新冠疫情暴露的医疗服务差距，这个创新项目是将姑息治疗直接带给患者的重要模式。
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