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Attend-PE 模式:肺栓塞患者结构化随访护理模式的可行性研究。

The Attend-PE model: A feasibility study of a structured follow-up care model for patients with pulmonary embolism.

机构信息

Department of Physiotherapy and Occupational Therapy, Aarhus University Hospital, Aarhus, Denmark.

Danish Center for Health Services Research, Aalborg University Hospital and Aalborg University, Aalborg, Denmark.

出版信息

Thromb Res. 2024 Oct;242:109133. doi: 10.1016/j.thromres.2024.109133. Epub 2024 Aug 24.

Abstract

BACKGROUND

Pulmonary embolism may have both physical and psychological consequences for the affected person. Guidelines recommend structured follow-up care, yet this is still not widely practised. Therefore, a national research project was initiated in Denmark in 2021, with the aim of developing, testing, implementing, and evaluating a structured post-pulmonary embolism follow-up care model, 'Attend-PE'. The objective of this feasibility study was to examine the fidelity, acceptability, and appropriateness of the Attend-PE model in a Danish hospital setting.

METHODS

This feasibility study was conducted in two Danish hospitals, using a prospective study design with six months' follow-up. The fidelity, acceptability, and appropriateness of the Attend-PE model's components were evaluated using surveys, registrations sheets, and interviews with two physicians, three nurses, and 29 patients. Qualitative data were analysed using a deductive content analysis, while quantitative data were analysed using descriptive statistics.

RESULTS

Fidelity with the Attend-PE model was good, with a high participation rate of patients in all components of the model. Acceptability was likewise good, as both patients and health care professionals expressed a high level of satisfaction with the model. The health care professionals considered the model to be relevant and suitable in a Danish hospital setting, confirming appropriateness of the model.

CONCLUSION

This study showed that the Attend-PE model for patients with pulmonary embolism is feasible and acceptable in a Danish hospital setting.

摘要

背景

肺栓塞可能会给患者带来身体和心理两方面的后果。指南建议进行结构化的随访护理,但这一做法尚未得到广泛实施。因此,丹麦于 2021 年启动了一项国家研究项目,旨在开发、测试、实施和评估一种结构化的肺栓塞后随访护理模式,即“Attend-PE”。本可行性研究的目的是在丹麦医院环境中检验 Attend-PE 模型的忠实度、可接受性和适宜性。

方法

本可行性研究在丹麦的两家医院进行,采用前瞻性研究设计,随访时间为 6 个月。通过对两位医生、三位护士和 29 名患者进行问卷调查、登记表格和访谈,评估 Attend-PE 模型的各个组成部分的忠实度、可接受性和适宜性。使用演绎内容分析法对定性数据进行分析,同时使用描述性统计对定量数据进行分析。

结果

Attend-PE 模型的忠实度良好,患者对模型的所有组成部分的参与率均较高。可接受性也较好,患者和医护人员均对该模型表示高度满意。医护人员认为该模型在丹麦医院环境中具有相关性和适宜性,证实了模型的适宜性。

结论

本研究表明,Attend-PE 模型适用于丹麦医院环境中肺栓塞患者,具有可行性和可接受性。

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