基层保健护士治疗轻微健康问题：一项横断面研究。

Treatment of minor health problems by primary care nurses: A cross-sectional study.

机构信息

Department of Public Health, Mental Health and Maternal and Child Health Nursing, School of Nursing, Faculty of Medicine and Health Science, University of Barcelona, Barcelona, Spain.

Informatic of Can Bou Primary Care Center, CASAP, Castelldefels, Barcelona, Spain.

出版信息

J Clin Nurs. 2023 Jun;32(11-12):2913-2921. doi: 10.1111/jocn.16445. Epub 2022 Jul 17.

DOI:10.1111/jocn.16445

PMID:35844060

Abstract

AIMS

To assess the results of a nursing-led program to treatment of minor health issues from Catalan health institute primary care teams during 2019 and 2020.

BACKGROUND

In 2009, the Catalan health institute implemented a nursing program to deal with minor health problems. This nursing-led program includes an algorithm for each of the minor health problems and arose as a strategy to reorganise the flow of demand for care in primary care.

DESIGN

A cross-sectional design.

METHODS

Multicentric cross-sectional study. 392 primary care teams from the Catalan health institute participated in the study. STROBE guideline was followed in reporting this study. Patients attending any of the participating centres requesting a same-day consultation for minor health issues were registered.

RESULTS

A total of 21,215,278 consultations were recorded: 18,284,105 for adult and 2,931,173 for paediatric patients. Minor health issue resolved by the nurse was achieved in 50.9% of adult patients and 55.4% of paediatric patients. The highest rates of resolution in adults (>85%) were as follows: burns, emergency contraception and injuries. The highest resolution rates (>84%) were as follows: burns, breastfeeding difficulties and infant colic. 87.7% of prescriptions issued by nurses were accepted by the family physician.

CONCLUSIONS

The nursing-led program to treat minor health issues has been shown to present acceptable resolution for nurses in a large primary care setting. Nurses have been carrying out prescription activities with very favourable results.

RELEVANCE TO CLINICAL PRACTICE

This study demonstrates that care provided to patients by nurses for minor health issues requiring preferential resolution is effective. Our results are useful in that they confirm both the effectiveness of the nursing-led program for minor health issues and the pharmacological prescriptions produced during patient appointments.

PATIENT OR PUBLIC CONTRIBUTION

Patient's data were obtained through a program records system after the minor health issues appointments.

摘要

目的

评估 2019 年至 2020 年期间，加泰罗尼亚卫生研究所初级保健团队中护理主导的项目对轻微健康问题的治疗结果。

背景

2009 年，加泰罗尼亚卫生研究所实施了一项护理计划，以处理轻微健康问题。该护理主导的计划包括针对每个轻微健康问题的算法，是重新组织初级保健需求流程的策略之一。

设计

横断面设计。

方法

多中心横断面研究。共有来自加泰罗尼亚卫生研究所的 392 个初级保健团队参与了这项研究。本研究按照 STROBE 指南进行报告。记录在任何参与中心就诊的患者因轻微健康问题要求当天就诊的情况。

结果

共记录了 21215278 次就诊：18284105 次为成人，2931173 次为儿科患者。护士解决的轻微健康问题在成人患者中达到 50.9%，在儿科患者中达到 55.4%。成人患者中解决率最高（>85%）的情况如下：烧伤、紧急避孕和外伤。解决率最高（>84%）的情况如下：烧伤、母乳喂养困难和婴儿绞痛。护士开出的 87.7%的处方得到家庭医生的认可。