教学医院中英国胸科学会哮喘出院护理捆绑包的审核。
An audit of the British Thoracic Society asthma discharge care bundle in a teaching hospital.
机构信息
Respiratory Clinical Nurse Specialist, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London.
Senior Lecturer, School of Healthcare and Social Work, Buckinghamshire New University, Uxbridge.
出版信息
Br J Nurs. 2021 Jul 8;30(13):772-779. doi: 10.12968/bjon.2021.30.13.772.
BACKGROUND
The UK asthma mortality rate has risen by 33% over a decade. The national enquiry into 195 asthma-related deaths revealed that most of these deaths were preventable. The Asthma Discharge Care Bundle (ADCB) is recommended for use when discharging patients with an acute asthma attack and/or exacerbation.
AIM
To review the implementation of the British Thoracic Society (BTS) bundle in a teaching hospital.
METHODS
A 12-month retrospective audit was conducted on 86 adult patients treated for asthma attacks.
FINDINGS
The results of the audit indicated that the hospital has complied with the ADCB. In total, 85% of patients had their inhaler technique checked, but 62% of them were not provided with any written inhaler use instructions. The respiratory clinical nurse specialists were more compliant with most of the bundle statements than the medical team.
CONCLUSION
The findings highlighted the need for asthma education sessions for all health professionals with emphasis on record-keeping skills.
背景
英国的哮喘死亡率在十年内上升了 33%。对 195 例与哮喘相关的死亡进行的全国调查显示，这些死亡大多数是可以预防的。当急性哮喘发作和/或加重的患者出院时，建议使用哮喘出院护理包（ADCB）。
目的
审查教学医院中英国胸科协会（BTS）护理包的实施情况。
方法
对 86 例接受哮喘发作治疗的成年患者进行了为期 12 个月的回顾性审计。
结果
审计结果表明，医院遵守了 ADCB。共有 85%的患者检查了吸入器技术，但其中 62%的患者没有提供任何书面的吸入器使用说明。呼吸临床护士专家比医疗团队更遵守大多数护理包的规定。
结论
研究结果强调需要为所有卫生专业人员举办哮喘教育课程，重点是记录保存技能。
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