因症状未得到控制而导致的非计划再入院。护士面临的医疗保健挑战。
Unscheduled readmissions for uncontrolled symptoms. A health care challenge for nurses.
作者信息
Grant M, Ferrell B R, Rivera L M, Lee J
机构信息
City of Hope National Medical Center, Nursing Research and Education, Duarte, California, USA.
出版信息
Nurs Clin North Am. 1995 Dec;30(4):673-82.
The purpose of this study was to measure the impact of nursing strategies to improve cancer pain management on hospital readmission for uncontrolled pain. Strategies include implementing a pain resource nurse program (PRN), making pain management a focus in the continuous quality improvement process of the institution and creating a supportive care service. Admissions were compared before and after implementation of the strategies. Results for 1989 to 1990 revealed 5772 total admission with 4.4% (255) admissions for uncontrolled pain; results for 1992 to 1993 revealed 4066 total admissions with 3.0% (121) admissions for uncontrolled pain. Findings indicate that strategies were effective in reducing the number of readmissions for uncontrolled pain.
本研究的目的是衡量改善癌症疼痛管理的护理策略对因疼痛控制不佳而再次入院的影响。这些策略包括实施疼痛资源护士计划（PRN），将疼痛管理作为机构持续质量改进过程的重点，并创建支持性护理服务。在实施这些策略前后对入院情况进行了比较。1989年至1990年的结果显示，总入院人数为5772人，其中4.4%（255人）因疼痛控制不佳入院；1992年至1993年的结果显示，总入院人数为4066人，其中3.0%（121人）因疼痛控制不佳入院。研究结果表明，这些策略在减少因疼痛控制不佳而再次入院的人数方面是有效的。
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