Ingram Shirley, Offiah Gregory
J Nurse Pract. 2023 Jun;19(6):104599. doi: 10.1016/j.nurpra.2023.104599. Epub 2023 Apr 11.
During the COVID-19 pandemic, a virtual telephone advanced nurse practitioner (ANP) led chest pain clinic was set up because face-to-face clinic visits had ceased.
This retrospective cohort analysis compared the ANP virtual chest pain clinic to the face-to-face nurse specialist-led clinic.
Autonomous nursing management was significantly higher in the virtual clinic, and significantly fewer patients were referred for functional testing. Coronary arterial disease (CAD) diagnosis did not differ.
ANP autonomy and experience enabled continued chest pain assessment and CAD diagnosis via a virtual telephone clinic.
在新冠疫情期间，由于面对面门诊就诊已停止，因此设立了一个由高级执业护士（ANP）通过虚拟电话主导的胸痛诊所。
这项回顾性队列分析将ANP虚拟胸痛诊所与面对面由护士专家主导的诊所进行了比较。
虚拟诊所的自主护理管理水平显著更高，被转诊进行功能测试的患者明显更少。冠状动脉疾病（CAD）的诊断并无差异。
ANP的自主性和经验使得通过虚拟电话诊所能够持续进行胸痛评估和CAD诊断。
