Clinical Director, Lymphoedema Wales Clinical Network.
Clinical Lead, Lymphoedema Wales Clinical Network.
Br J Nurs. 2024 Apr 18;33(8):360-370. doi: 10.12968/bjon.2024.33.8.360.
Lymphoedema is a progressive condition causing significant alterations to life, exerting pressures on unscheduled care from complications including cellulitis and wounds. An on the ground education programme (OGEP) was implemented to raise knowledge, competence and confidence in lymphoedema management in community clinical services. The aim of this study was to explore the impact and outcomes of the OGEP intervention.
Data were captured before and after OGEP on 561 lymphoedema patients in the community setting. Data recorded included resource use, costs and outcomes (EQ-5D-5L and LYMPROM).
Data demonstrated statistically significant reductions in resource allocations including staff visits (<0.001), cellulitis admissions (<0.001), compression consumables and wound dressing costs (<0.001). Overall, the total mean per patient cost decreased from £1457.10 to £964.40 (including intervention) with outcomes significantly improved in EQ-5D-5L/LYMPROM scores.
The analysis suggests the OGEP intervention may offer reductions in resource costs and improvements in patient outcomes. OGEP may therefore provide an innovative solution in future care delivery.
淋巴水肿是一种进行性疾病，会导致生活发生重大改变，并因包括蜂窝织炎和伤口在内的并发症而给非计划性护理带来压力。为了提高社区临床服务中对淋巴水肿管理的知识、能力和信心，实施了一项实地教育计划（OGEP）。本研究旨在探讨 OGEP 干预的影响和结果。
在社区环境中对 561 例淋巴水肿患者进行了 OGEP 前后的数据采集。记录的数据包括资源利用、成本和结果（EQ-5D-5L 和 LYMPROM）。
数据显示，资源分配的统计显著减少，包括工作人员访问（<0.001）、蜂窝织炎入院（<0.001）、压缩消耗品和伤口敷料成本（<0.001）。总体而言，每位患者的平均总成本从 1457.10 英镑降至 964.40 英镑（包括干预措施），EQ-5D-5L/LYMPROM 评分的结果显著改善。
分析表明，OGEP 干预措施可能会降低资源成本并改善患者的结果。因此，OGEP 可能为未来的护理提供一种创新的解决方案。
