心力衰竭患者从医院到家庭的过渡期护理：最佳实践的实施。
Transitional care from the hospital to the home in heart failure: implementation of best practices.
机构信息
Escola de Enfermagem, Universidade de São Paulo. São Paulo, São Paulo, Brazil.
Instituto Dante Pazzanese de Cardiologia. São Paulo, São Paulo, Brazil.
出版信息
Rev Bras Enferm. 2021 Sep 24;75(1):e20210123. doi: 10.1590/0034-7167-2021-0123. eCollection 2021.
OBJECTIVES
Assess the compliance of the implementation of better evidence in the transitional care of the person with heart failure from the hospital to the home.
METHODS
Evidence implementation project according to the JBI methodology in a cardiology hospital in São Paulo. Six criteria were audited before and after implementing strategies to increase compliance with best practices. 14 nurses and 22 patients participated in the audits.
RESULTS
In the baseline audit, compliance was null with five of the six criteria. Strategies: training of nurses; reformulation of the hospital discharge form and guidance on self-care in care contexts; and making telephone contact on the 7th, 14th and 21st days after discharge. In the follow-up audit, there was 100% compliance with five of the six criteria.
CONCLUSION
The project made it possible to increase the compliance of transitional care practices in people with heart failure with the recommendations based on the best evidence.
目的
评估将更好的证据应用于心衰患者从医院到家庭的过渡护理中的实施依从性。
方法
在圣保罗的一家心脏病医院，根据 JBI 方法实施证据实施项目。在实施增加最佳实践依从性的策略之前和之后，审核了六个标准。14 名护士和 22 名患者参与了审核。
结果
在基线审核中，六个标准中有五个标准的依从性为零。策略：对护士进行培训；重新制定医院出院表格，并在护理环境中指导自我护理；以及在出院后的第 7、14 和 21 天进行电话联系。在后续审核中，六个标准中有五个标准的依从性达到了 100%。
结论
该项目使得基于最佳证据的建议能够提高心衰患者过渡护理实践的依从性。
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